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style="display:inline-block;width:35%;" title="CM-0-1-4-2" class="itemDescTD">主要手术操作栏中提取ICD-9-CM-3六位临床扩展编码与名称</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810572962226178" itemCode="CM-0-1-4-2"><a id="1409810572962226178_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810572962226178_Note"></span></div><div class="itemTR" id="1409810573603954690_Row" dic='[{"formItemId":1409810573603954690,"isDefault":0,"updateDate":1700189491000,"code":"y","id":1410076978735742977,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1409810573603954690,"isDefault":1,"updateDate":1700189491000,"code":"n","id":1410076978828017665,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CM-0-1-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否出院后31天内重复住院</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1409810573603954690" itemCode="CM-0-1-5"></div><a id="1409810573603954690_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810573603954690_Note"></span></div><div class="itemTR" id="1409810574002413569_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>出生日期</div><input placeholder="点击选择" class="Date" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810574002413569" itemCode="CM-0-2-1-1"><a id="1409810574002413569_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810574002413569_Note"></span></div><div class="itemTR" id="1409810574702862338_Row" dic='[{"formItemId":1409810574702862338,"isDefault":0,"updateDate":1700189491000,"code":"M","id":1410076978945458177,"indNo":1,"isActive":1,"desc":"男"},{"formItemId":1409810574702862338,"isDefault":0,"updateDate":1700189491000,"code":"F","id":1410076979041927170,"indNo":2,"isActive":1,"desc":"女"}]'><div style="display:inline-block;width:35%;" title="CM-0-2-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者性别</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1409810574702862338" itemCode="CM-0-2-1-2"></div><a id="1409810574702862338_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810574702862338_Note"></span></div><div class="itemTR" id="1409810575126487042_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-1-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者体重（kg）</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810575126487042" itemCode="CM-0-2-1-3"><a id="1409810575126487042_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810575126487042_Note"></span></div><div class="itemTR" id="1409810575701106689_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-1-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者身高（cm）</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810575701106689" itemCode="CM-0-2-1-5"><a id="1409810575701106689_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810575701106689_Note"></span></div><div class="itemTR" id="1409810576279920641_Row" dic='[{"formItemId":1409810576279920641,"isDefault":0,"updateDate":1700189491000,"code":"UTD","id":1410076979188727810,"indNo":1,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="CM-0-2-2-1" class="itemDescTD">发病日期时间是否无法确定或无记录</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1409810576279920641" itemCode="CM-0-2-2-1"></div><a id="1409810576279920641_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810576279920641_Note"></span></div><div class="itemTR" id="1409810576682573825_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>发病日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810576682573825" itemCode="CM-0-2-2-2"><a id="1409810576682573825_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810576682573825_Note"></span></div><div class="itemTR" id="1409810577332690945_Row" dic='[{"formItemId":1409810577332690945,"isDefault":0,"updateDate":1700189491000,"code":"UTD","id":1410076979348111362,"indNo":1,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="CM-0-2-3-1" class="itemDescTD">到达本院急诊或者门诊日期时间是否无法确定或无记录</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1409810577332690945" itemCode="CM-0-2-3-1"></div><a id="1409810577332690945_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810577332690945_Note"></span></div><div class="itemTR" id="1409810577735344129_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>到达本院急诊或者门诊日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810577735344129" itemCode="CM-0-2-3-2"><a id="1409810577735344129_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810577735344129_Note"></span></div><div class="itemTR" id="1409810578356101121_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>入院日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810578356101121" itemCode="CM-0-2-4-1"><a id="1409810578356101121_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810578356101121_Note"></span></div><div class="itemTR" id="1409810578750365697_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-4-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>出院日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810578750365697" itemCode="CM-0-2-4-2"><a id="1409810578750365697_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810578750365697_Note"></span></div><div class="itemTR" id="1409810579366928385_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-5-1" class="itemDescTD">入住CCU日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810579366928385" itemCode="CM-0-2-5-1"><a id="1409810579366928385_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810579366928385_Note"></span></div><div class="itemTR" id="1409810579786358785_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-5-2" class="itemDescTD">离开CCU日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810579786358785" itemCode="CM-0-2-5-2"><a id="1409810579786358785_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810579786358785_Note"></span></div><div class="itemTR" id="1409810580470030337_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-6-1" class="itemDescTD">手术开始（切皮）日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810580470030337" itemCode="CM-0-2-6-1"><a id="1409810580470030337_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810580470030337_Note"></span></div><div class="itemTR" id="1409810580964958209_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-6-2" class="itemDescTD">手术结束（缝皮结束）日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810580964958209" itemCode="CM-0-2-6-2"><a id="1409810580964958209_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810580964958209_Note"></span></div><div class="itemTR" id="1409810581547966466_Row" dic='[{"formItemId":1409810581547966466,"isDefault":0,"updateDate":1700189491000,"code":"def","id":1410076979520077825,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1409810581547966466,"isDefault":0,"updateDate":1700189491000,"code":"a","id":1410076979637518338,"indNo":2,"isActive":1,"desc":"城镇职工基本医疗保险"},{"formItemId":1409810581547966466,"isDefault":0,"updateDate":1700189491000,"code":"b","id":1410076979733987329,"indNo":3,"isActive":1,"desc":"城镇居民基本医疗保险"},{"formItemId":1409810581547966466,"isDefault":0,"updateDate":1700189491000,"code":"c","id":1410076979834650625,"indNo":4,"isActive":1,"desc":"新型农村合作医疗"},{"formItemId":1409810581547966466,"isDefault":0,"updateDate":1700189491000,"code":"d","id":1410076979926925314,"indNo":5,"isActive":1,"desc":"贫困救助"},{"formItemId":1409810581547966466,"isDefault":0,"updateDate":1700189491000,"code":"e","id":1410076980040171522,"indNo":6,"isActive":1,"desc":"商业医疗保险"},{"formItemId":1409810581547966466,"isDefault":0,"updateDate":1700189491000,"code":"f","id":1410076980174389249,"indNo":7,"isActive":1,"desc":"公费医疗"},{"formItemId":1409810581547966466,"isDefault":0,"updateDate":1700189491000,"code":"g","id":1410076980312801282,"indNo":8,"isActive":1,"desc":"全自费"},{"formItemId":1409810581547966466,"isDefault":0,"updateDate":1700189491000,"code":"h","id":1410076980430241793,"indNo":9,"isActive":1,"desc":"其他社会保险（ 生育保险、工伤保险、农民工保险等）"},{"formItemId":1409810581547966466,"isDefault":0,"updateDate":1700189491000,"code":"i","id":1410076980522516482,"indNo":10,"isActive":1,"desc":"其他"}]'><div style="display:inline-block;width:35%;" title="CM-0-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>费用支付方式</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810581547966466" itemCode="CM-0-3-1"><a id="1409810581547966466_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810581547966466_Note"></span></div><div class="itemTR" id="1409810582009339906_Row" dic='[{"formItemId":1409810582009339906,"isDefault":0,"updateDate":1700189491000,"code":"def","id":1410076980631568386,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1409810582009339906,"isDefault":0,"updateDate":1700189491000,"code":"a","id":1410076980723843073,"indNo":2,"isActive":1,"desc":"门诊"},{"formItemId":1409810582009339906,"isDefault":0,"updateDate":1700189491000,"code":"b","id":1410076980853866497,"indNo":3,"isActive":1,"desc":"急诊"},{"formItemId":1409810582009339906,"isDefault":0,"updateDate":1700189491000,"code":"c","id":1410076980979695617,"indNo":4,"isActive":1,"desc":"其他医疗机构转入"},{"formItemId":1409810582009339906,"isDefault":0,"updateDate":1700189491000,"code":"d","id":1410076981122301953,"indNo":5,"isActive":1,"desc":"院内其他临床科室转入"},{"formItemId":1409810582009339906,"isDefault":0,"updateDate":1700189491000,"code":"e","id":1410076981277491201,"indNo":6,"isActive":1,"desc":"其他"}]'><div style="display:inline-block;width:35%;" title="CM-0-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>收入住院途径</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810582009339906" itemCode="CM-0-3-2"><a id="1409810582009339906_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810582009339906_Note"></span></div><div class="itemTR" id="1409810582474907649_Row" dic='[{"formItemId":1409810582474907649,"isDefault":0,"updateDate":1700189491000,"code":"def","id":1410076981386543105,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1409810582474907649,"isDefault":0,"updateDate":1700189491000,"code":"a","id":1410076981478817794,"indNo":2,"isActive":1,"desc":"救护车"},{"formItemId":1409810582474907649,"isDefault":0,"updateDate":1700189491000,"code":"b","id":1410076981575286786,"indNo":3,"isActive":1,"desc":"出租车"},{"formItemId":1409810582474907649,"isDefault":0,"updateDate":1700189491000,"code":"c","id":1410076981680144385,"indNo":4,"isActive":1,"desc":"私家车"},{"formItemId":1409810582474907649,"isDefault":0,"updateDate":1700189491000,"code":"d","id":1410076981797584897,"indNo":5,"isActive":1,"desc":"其他"}]'><div style="display:inline-block;width:35%;" title="CM-0-3-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>到院交通工具</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810582474907649" itemCode="CM-0-3-3"><a id="1409810582474907649_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810582474907649_Note"></span></div></div><div class="itemCat" id="Title1" onclick="objScreen.toggle('HF-1 左心室射血分数左心室功能评价与检测B型利钠肽实施情况完成')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;HF-1 左心室射血分数左心室功能评价与检测B型利钠肽实施情况完成</div><div title="HF-1 左心室射血分数左心室功能评价与检测B型利钠肽实施情况完成"><p title="一般信息" class="itemsubCat">一般信息</p><div class="itemTR" id="1565211047437053954_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-1-6-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>收缩压(mmHg)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1565211047437053954" itemCode="HF-1-6-1"><a id="1565211047437053954_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1565211047437053954_Note"></span></div><div class="itemTR" id="1565211047550300161_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-1-6-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>舒张压(mmHg)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1565211047550300161" itemCode="HF-1-6-2"><a id="1565211047550300161_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1565211047550300161_Note"></span></div><div class="itemTR" id="1565211047768403970_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-1-6-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>心率(次/分)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1565211047768403970" itemCode="HF-1-6-3"><a id="1565211047768403970_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1565211047768403970_Note"></span></div><div class="itemTR" id="1409810583011778561_Row" dic='[{"formItemId":1409810583011778561,"isDefault":0,"updateDate":1700189491000,"code":"y","id":1410076981973745665,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1409810583011778561,"isDefault":0,"updateDate":1700189491000,"code":"n","id":1410076982116352001,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="HF-1-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否实施首次X线胸片检查</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1409810583011778561" itemCode="HF-1-1-1"></div><a id="1409810583011778561_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810583011778561_Note"></span></div><div class="itemTR" id="1409810583674478594_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-1-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>首次X线胸片检查报告日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810583674478594" itemCode="HF-1-1-2"><a id="1409810583674478594_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810583674478594_Note"></span></div><div class="itemTR" id="1409810584194572290_Row" dic='[{"formItemId":1409810584194572290,"isDefault":0,"updateDate":1700189491000,"code":"y","id":1410076982242181121,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1409810584194572290,"isDefault":0,"updateDate":1700189491000,"code":"n","id":1410076982334455810,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="HF-1-1-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>首次X线胸片检查报告是否有肺淤血或肺水肿</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1409810584194572290" itemCode="HF-1-1-3"></div><a id="1409810584194572290_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810584194572290_Note"></span></div><div class="itemTR" id="1409810584764997633_Row" dic='[{"formItemId":1409810584764997633,"isDefault":0,"updateDate":1700189491000,"code":"y","id":1410076982451896322,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1409810584764997633,"isDefault":0,"updateDate":1700189491000,"code":"n","id":1410076982560948225,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="HF-1-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否实施首次超声心动图(CDFA)检查</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1409810584764997633" itemCode="HF-1-2-1"></div><a id="1409810584764997633_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810584764997633_Note"></span></div><div class="itemTR" id="1409810585184428033_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-1-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>报告日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810585184428033" itemCode="HF-1-2-2"><a id="1409810585184428033_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810585184428033_Note"></span></div><div class="itemTR" id="1409810585939402754_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-1-2-3-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>左室舒张末内径（LVEDD）(mm)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810585939402754" itemCode="HF-1-2-3-4"><a id="1409810585939402754_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810585939402754_Note"></span></div><div class="itemTR" id="1409810586350444546_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-1-2-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>左室射血分（LVEF）测量值(%)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810586350444546" itemCode="HF-1-2-3-1"><a id="1409810586350444546_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810586350444546_Note"></span></div><div class="itemTR" id="1409810587038310401_Row" dic='[{"formItemId":1409810587038310401,"isDefault":0,"updateDate":1700189491000,"code":"def","id":1410076982728720385,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1409810587038310401,"isDefault":0,"updateDate":1700189491000,"code":"a","id":1410076982862938113,"indNo":2,"isActive":1,"desc":"LVEF<40%，射血分数降低的心衰（HFrEF）"},{"formItemId":1409810587038310401,"isDefault":0,"updateDate":1700189491000,"code":"b","id":1410076983001350145,"indNo":3,"isActive":1,"desc":"LVEF≥50%，射血分数保留的心衰（HFpEF）"},{"formItemId":1409810587038310401,"isDefault":0,"updateDate":1700189491000,"code":"c","id":1410076983097819137,"indNo":4,"isActive":1,"desc":"LVEF40-49%，射血分数轻度下降的心衰（HFmrEF）"}]'><div style="display:inline-block;width:35%;" title="HF-1-2-3-2" class="itemDescTD">左室射血分数评估结论</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810587038310401" itemCode="HF-1-2-3-2"><a id="1409810587038310401_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810587038310401_Note"></span></div><div class="itemTR" id="1409810587659067393_Row" dic='[{"formItemId":1409810587659067393,"isDefault":0,"updateDate":1702953922000,"code":"y","matchRule":"","updateUser":"admin","id":1410076983211065345,"indNo":1,"isActive":1,"keyword":"","desc":"是"},{"formItemId":1409810587659067393,"isDefault":1,"updateDate":1702953922000,"code":"n","matchRule":"","updateUser":"admin","id":1410076983307534338,"indNo":2,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="HF-1-2-3-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否有左心室室壁瘤</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1409810587659067393" itemCode="HF-1-2-3-3"></div><a id="1409810587659067393_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810587659067393_Note"></span></div><div class="itemTR" id="1409810588070109185_Row" dic='[{"formItemId":1409810588070109185,"isDefault":0,"updateDate":1702955071000,"code":"a","matchRule":"","updateUser":"admin","id":1410076983429169154,"indNo":1,"isActive":1,"keyword":"","desc":"NYHA分级"},{"formItemId":1409810588070109185,"isDefault":1,"updateDate":1702955071000,"code":"b","matchRule":"","updateUser":"admin","id":1410076983550803969,"indNo":2,"isActive":1,"keyword":"","desc":"Killip分级"},{"formItemId":1409810588070109185,"isDefault":0,"updateDate":1702955071000,"code":"n","matchRule":"","updateUser":"admin","id":1410076983676633089,"indNo":3,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="HF-1-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>实施首次评估患者的危险程度</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810588070109185" itemCode="HF-1-3-1"><a id="1409810588070109185_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810588070109185_Note"></span></div><div class="itemTR" id="1409810588703449090_Row" dic='[{"formItemId":1409810588703449090,"isDefault":0,"updateDate":1702955633000,"code":"def","matchRule":"","updateUser":"admin","id":1410076983848599553,"indNo":1,"isActive":1,"keyword":"","desc":"请选择"},{"formItemId":1409810588703449090,"isDefault":0,"updateDate":1702955633000,"code":"a","matchRule":"","updateUser":"admin","id":1410076983940874241,"indNo":2,"isActive":1,"keyword":"I级","desc":"Ⅰ级：无心力衰竭征象，但PCWP(肺毛细血管楔嵌压)可升高，病死率0-5%"},{"formItemId":1409810588703449090,"isDefault":0,"updateDate":1702955633000,"code":"b","matchRule":"","updateUser":"admin","id":1410076984045731842,"indNo":3,"isActive":1,"keyword":"(II|Ⅱ)级","desc":"Ⅱ级：轻至中度心力衰竭，肺啰音出现范围小于两肺野的50%，可出现第三心音奔马律、持续性窦性心动过速或其他心律失常，静脉压升高，有肺淤血的X线表现，病死率10- 20%"},{"formItemId":1409810588703449090,"isDefault":0,"updateDate":1702955633000,"code":"c","matchRule":"","updateUser":"admin","id":1410076984138006529,"indNo":4,"isActive":1,"keyword":"(Ⅲ|III)级","desc":"Ⅲ级：重度心力衰竭，出现急性肺水肿，肺啰音出现范围大于两肺的50%，病死率35-40%"},{"formItemId":1409810588703449090,"isDefault":0,"updateDate":1702955633000,"code":"d","matchRule":"","updateUser":"admin","id":1410076984242864129,"indNo":5,"isActive":1,"keyword":"Ⅳ级","desc":"Ⅳ级：出现心源性休克，收缩压小于90mmHg，尿少于每小时 20ml，皮肤湿冷，发绀，呼吸加速，脉率大于100次/分，病死率 85-95%"}]'><div style="display:inline-block;width:35%;" title="HF-1-3-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>Killip分级评估结果的选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810588703449090" itemCode="HF-1-3-3"><a id="1409810588703449090_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810588703449090_Note"></span></div><div class="itemTR" id="1409810589127073793_Row" dic='[{"formItemId":1409810589127073793,"isDefault":0,"updateDate":1700189491000,"code":"def","id":1410076984414830594,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1409810589127073793,"isDefault":0,"updateDate":1700189491000,"code":"a","id":1410076984523882498,"indNo":2,"isActive":1,"desc":"Ⅰ级 :患有心脏病，但体力活动不受限制，一般体力活动不引起过度疲乏，心悸，呼吸困难或心绞痛"},{"formItemId":1409810589127073793,"isDefault":0,"updateDate":1700189491000,"code":"b","id":1410076984674877441,"indNo":3,"isActive":1,"desc":"Ⅱ级 :患有心脏病，体力活动稍受限制，休息时无症状；感觉舒适，但一般体力活动会引起疲乏、心悸、呼吸困难或心绞痛"},{"formItemId":1409810589127073793,"isDefault":0,"updateDate":1700189491000,"code":"c","id":1410076984771346434,"indNo":4,"isActive":1,"desc":"Ⅲ级 :患有心脏病，体力活动大受限制，休息时无症状，尚感舒适，但一般轻微体力活动会引起疲乏，心悸，呼吸困难或心绞痛"},{"formItemId":1409810589127073793,"isDefault":0,"updateDate":1700189491000,"code":"d","id":1410076984863621122,"indNo":5,"isActive":1,"desc":"Ⅳ级 :患有心脏病，体力能力完全丧失，休息时仍可存在心力衰竭症状或心绞痛，即呼吸困难和疲乏，进行任何体力活动都会使症状加重。即轻微活动能使呼吸困难和疲乏加重"},{"formItemId":1409810589127073793,"isDefault":0,"updateDate":1700189491000,"code":"e","id":1410076984960090114,"indNo":6,"isActive":1,"desc":"心力衰竭患者的LVEF与心功能分级症状并非完全一致"}]'><div style="display:inline-block;width:35%;" title="HF-1-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>NYHA分级结果的选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810589127073793" itemCode="HF-1-3-2"><a id="1409810589127073793_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810589127073793_Note"></span></div><div class="itemTR" id="1409810589705887745_Row" dic='[{"formItemId":1409810589705887745,"isDefault":0,"updateDate":1702955679000,"code":"y","matchRule":"","updateUser":"admin","id":1410076985085919233,"indNo":1,"isActive":1,"keyword":"","desc":"是"},{"formItemId":1409810589705887745,"isDefault":1,"updateDate":1702955679000,"code":"n","matchRule":"","updateUser":"admin","id":1410076985224331266,"indNo":2,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="HF-1-3-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否为非瓣膜性房颤/房扑患者</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1409810589705887745" itemCode="HF-1-3-5"></div><a id="1409810589705887745_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810589705887745_Note"></span></div><div class="itemTR" id="1409810590108540929_Row" dic='[{"formItemId":1409810590108540929,"isDefault":0,"updateDate":1700189491000,"code":"y","id":1410076985434046466,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1409810590108540929,"isDefault":0,"updateDate":1700189491000,"code":"n","id":1410076985559875586,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="HF-1-3-6-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否实施房颤患者风险评估</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1409810590108540929" itemCode="HF-1-3-6-1"></div><a id="1409810590108540929_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810590108540929_Note"></span></div><div class="itemTR" id="1409810590674771969_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-1-3-6-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>房颤患者脑险评估分值</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810590674771969" itemCode="HF-1-3-6-2"><a id="1409810590674771969_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810590674771969_Note"></span></div><div class="itemTR" id="1409810591081619457_Row" dic='[{"formItemId":1409810591081619457,"isDefault":0,"updateDate":1700189491000,"code":"y","id":1410076985673121794,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1409810591081619457,"isDefault":0,"updateDate":1700189491000,"code":"n","id":1410076985761202177,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="HF-1-3-6-3" class="itemDescTD">CHA2DS2-VASc评分大于2分</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1409810591081619457" itemCode="HF-1-3-6-3"></div><a id="1409810591081619457_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810591081619457_Note"></span></div><div class="itemTR" id="1409810591685599233_Row" dic='[{"formItemId":1409810591685599233,"isDefault":0,"updateDate":1700189491000,"code":"y","id":1410076985878642689,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1409810591685599233,"isDefault":0,"updateDate":1700189491000,"code":"n","id":1410076986000277506,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="HF-1-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>急诊或入院后是否首次心电图（ECG）检查</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1409810591685599233" itemCode="HF-1-4-1"></div><a id="1409810591685599233_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810591685599233_Note"></span></div><div class="itemTR" id="1409810592088252418_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-1-4-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>报告日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810592088252418" itemCode="HF-1-4-2"><a id="1409810592088252418_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810592088252418_Note"></span></div><div class="itemTR" id="1409810592675454977_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-1-4-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>QRS宽度(ms)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810592675454977" itemCode="HF-1-4-3"><a id="1409810592675454977_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810592675454977_Note"></span></div><div class="itemTR" id="1409810593065525250_Row" dic='[{"formItemId":1409810593065525250,"isDefault":0,"updateDate":1702955889000,"code":"a","matchRule":"","updateUser":"admin","id":1410076986168049665,"indNo":1,"isActive":1,"keyword":"(房颤|房扑)","desc":"房颤/房扑"},{"formItemId":1409810593065525250,"isDefault":0,"updateDate":1702955889000,"code":"b","matchRule":"","updateUser":"admin","id":1410076986323238914,"indNo":2,"isActive":1,"keyword":"ST段","desc":"ST段抬高心肌梗死"},{"formItemId":1409810593065525250,"isDefault":0,"updateDate":1702955889000,"code":"c","matchRule":"","updateUser":"admin","id":1410076986419707905,"indNo":3,"isActive":1,"keyword":"","desc":"非ST段抬高心肌梗死"},{"formItemId":1409810593065525250,"isDefault":0,"updateDate":1702955889000,"code":"d","matchRule":"","updateUser":"admin","id":1410076986516176898,"indNo":4,"isActive":1,"keyword":"(LBBB|RBBB)","desc":"新发LBBB/RBBB"},{"formItemId":1409810593065525250,"isDefault":0,"updateDate":1702955889000,"code":"e","matchRule":"","updateUser":"admin","id":1410076986612645890,"indNo":5,"isActive":1,"keyword":"","desc":"正常或大致正常ECG"},{"formItemId":1409810593065525250,"isDefault":0,"updateDate":1702955889000,"code":"oth","matchRule":"","updateUser":"admin","id":1410076986704920578,"indNo":6,"isActive":1,"keyword":"","desc":"其他"},{"formItemId":1409810593065525250,"isDefault":0,"updateDate":1702955889000,"code":"UTD","matchRule":"","updateUser":"admin","id":1410076986797195265,"indNo":7,"isActive":1,"keyword":"","desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="HF-1-4-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>心电图（ECG）检查结果选择</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1409810593065525250" itemCode="HF-1-4-4"></div><a id="1409810593065525250_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810593065525250_Note"></span></div><div class="itemTR" id="1409810593682087937_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-1-4-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他心电图检查结果</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810593682087937" itemCode="HF-1-4-4-1"><a id="1409810593682087937_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810593682087937_Note"></span></div><div class="itemTR" id="1409810594080546818_Row" dic='[{"formItemId":1409810594080546818,"isDefault":0,"updateDate":1700189491000,"code":"y","id":1410076986935607297,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1409810594080546818,"isDefault":0,"updateDate":1700189491000,"code":"n","id":1410076987074019330,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="HF-1-5-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否实施首次检测</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1409810594080546818" itemCode="HF-1-5-1-1"></div><a id="1409810594080546818_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810594080546818_Note"></span></div><div class="itemTR" id="1409810594713886722_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-1-5-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>首次检测结果报告日期</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810594713886722" itemCode="HF-1-5-1-2"><a id="1409810594713886722_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810594713886722_Note"></span></div><div class="itemTR" id="1409810595099762689_Row" dic='[{"formItemId":1409810595099762689,"isDefault":0,"updateDate":1700189491000,"code":"a","id":1410076987229208577,"indNo":1,"isActive":1,"desc":"肌钙蛋白T（TnT）"},{"formItemId":1409810595099762689,"isDefault":0,"updateDate":1700189491000,"code":"b","id":1410076987321483266,"indNo":2,"isActive":1,"desc":"肌钙蛋白I（TnI）"},{"formItemId":1409810595099762689,"isDefault":0,"updateDate":1700189491000,"code":"c","id":1410076987409563649,"indNo":3,"isActive":1,"desc":"肌酸激酶同工酶（CK-MB）"},{"formItemId":1409810595099762689,"isDefault":0,"updateDate":1700189491000,"code":"d","id":1410076987501838338,"indNo":4,"isActive":1,"desc":"心肌肌红蛋白（Myo）"},{"formItemId":1409810595099762689,"isDefault":0,"updateDate":1700189491000,"code":"e","id":1410076987602501633,"indNo":5,"isActive":1,"desc":"B型钠尿肽（BNP）"},{"formItemId":1409810595099762689,"isDefault":0,"updateDate":1700189491000,"code":"f","id":1410076987724136449,"indNo":6,"isActive":1,"desc":"N端B型钠尿肽前体（NT-ProBNP）"},{"formItemId":1409810595099762689,"isDefault":0,"updateDate":1700189491000,"code":"g","id":1491953516627922946,"indNo":7,"isActive":1,"desc":"血糖"},{"formItemId":1409810595099762689,"isDefault":0,"updateDate":1700189491000,"code":"h","id":1565211117364490242,"indNo":8,"isActive":1,"desc":"D-二聚体"},{"formItemId":1409810595099762689,"isDefault":0,"updateDate":1700189491000,"code":"i","id":1565211117406433281,"indNo":9,"isActive":1,"desc":"血肌酐"},{"formItemId":1409810595099762689,"isDefault":0,"updateDate":1700189491000,"code":"j","id":1565211117444182017,"indNo":10,"isActive":1,"desc":"血钾"},{"formItemId":1409810595099762689,"isDefault":0,"updateDate":1700189491000,"code":"oth","id":1565211117477736450,"indNo":11,"isActive":1,"desc":"其他项目"}]'><div style="display:inline-block;width:35%;" title="HF-1-5-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>首次检测选择</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1409810595099762689" itemCode="HF-1-5-3"></div><a id="1409810595099762689_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810595099762689_Note"></span></div><div class="itemTR" id="1409810595733102593_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-1-5-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>肌钙蛋白T（TnT）检测值(ng/mL)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810595733102593" itemCode="HF-1-5-2-1"><a id="1409810595733102593_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810595733102593_Note"></span></div><div class="itemTR" id="1409810596114784257_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-1-5-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>肌钙蛋白I（TnI）检测值(ng/mL)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810596114784257" itemCode="HF-1-5-2-2"><a id="1409810596114784257_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810596114784257_Note"></span></div><div class="itemTR" id="1409810596630683650_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-1-5-2-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>肌酸激酶同工酶（CK-MB）检测值(ng/mL)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810596630683650" itemCode="HF-1-5-2-3"><a id="1409810596630683650_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810596630683650_Note"></span></div><div class="itemTR" id="1409810597071085569_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-1-5-2-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>心肌肌红蛋白（Myo）检测值(ng/mL)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810597071085569" itemCode="HF-1-5-2-4"><a id="1409810597071085569_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810597071085569_Note"></span></div><div class="itemTR" id="1409810597792505857_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-1-5-2-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>B型钠尿肽（BNP）检测值(ng/mL)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810597792505857" itemCode="HF-1-5-2-5"><a id="1409810597792505857_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810597792505857_Note"></span></div><div class="itemTR" id="1409810598178381825_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-1-5-2-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>N端B型钠尿肽前体（NT-ProBNP）检测值(ng/L)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810598178381825" itemCode="HF-1-5-2-6"><a id="1409810598178381825_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810598178381825_Note"></span></div><div class="itemTR" id="1491953506364461058_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-1-5-2-7" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>血糖 检测值(ng/L)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1491953506364461058" itemCode="HF-1-5-2-7"><a id="1491953506364461058_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1491953506364461058_Note"></span></div><div class="itemTR" id="1565211056517722113_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-1-5-2-8" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>D-二聚体 检测值(ug/mL)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1565211056517722113" itemCode="HF-1-5-2-8"><a id="1565211056517722113_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1565211056517722113_Note"></span></div><div class="itemTR" id="1565211056635162625_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-1-5-2-9" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>血肌酐 检测值(umol/L)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1565211056635162625" itemCode="HF-1-5-2-9"><a id="1565211056635162625_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1565211056635162625_Note"></span></div><div class="itemTR" id="1565211056878432258_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-1-5-2-10" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>血钾 检测值(mmol/L)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1565211056878432258" itemCode="HF-1-5-2-10"><a id="1565211056878432258_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1565211056878432258_Note"></span></div><div class="itemTR" id="1565211057021038593_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-1-5-2-11" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他项目名称</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1565211057021038593" itemCode="HF-1-5-2-11"><a id="1565211057021038593_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1565211057021038593_Note"></span></div><div class="itemTR" id="1565211057159450626_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-1-5-2-12" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他项 检测值</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1565211057159450626" itemCode="HF-1-5-2-12"><a id="1565211057159450626_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1565211057159450626_Note"></span></div></div><div class="itemCat" id="Title2" onclick="objScreen.toggle('HF-2 到达医院后利尿剂使用情况')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;HF-2 到达医院后利尿剂使用情况</div><div title="HF-2 到达医院后利尿剂使用情况"><p title="一般信息" class="itemsubCat">一般信息</p><div class="itemTR" id="1491953506381238274_Row" dic='[{"formItemId":1491953506381238274,"isDefault":1,"updateDate":1710924237000,"code":"y","matchRule":"","updateUser":"admin","id":1491953516636311553,"indNo":1,"isActive":1,"keyword":"","desc":"是"},{"formItemId":1491953506381238274,"isDefault":0,"updateDate":1710924237000,"code":"n","matchRule":"","updateUser":"admin","id":1491953516648894465,"indNo":2,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="HF-2-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否有液体潴留的症状及体征</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1491953506381238274" itemCode="HF-2-2-1"></div><a id="1491953506381238274_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1491953506381238274_Note"></span></div><div class="itemTR" id="1409810598832693250_Row" dic='[{"formItemId":1409810598832693250,"isDefault":0,"updateDate":1702956865000,"code":"y","matchRule":"","updateUser":"admin","id":1410076987896102913,"indNo":1,"isActive":1,"keyword":"","desc":"是"},{"formItemId":1409810598832693250,"isDefault":1,"updateDate":1702956865000,"code":"n","matchRule":"","updateUser":"admin","id":1410076988042903553,"indNo":2,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="HF-2-1-A" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否有利尿剂的禁忌证</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1409810598832693250" itemCode="HF-2-1-A"></div><a id="1409810598832693250_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810598832693250_Note"></span></div><div class="itemTR" id="1409810599264706562_Row" dic='[{"formItemId":1409810599264706562,"isDefault":0,"updateDate":1700189491000,"code":"a","id":1410076988172926978,"indNo":1,"isActive":1,"desc":"从无液体潴留的症状及体征"},{"formItemId":1409810599264706562,"isDefault":0,"updateDate":1700189491000,"code":"b","id":1410076988273590273,"indNo":2,"isActive":1,"desc":"痛风是噻嗪类利尿剂的禁忌证"},{"formItemId":1409810599264706562,"isDefault":0,"updateDate":1700189491000,"code":"c","id":1410076988365864962,"indNo":3,"isActive":1,"desc":"已知对某种利尿剂过敏或者存在不良反应"},{"formItemId":1409810599264706562,"isDefault":0,"updateDate":1700189491000,"code":"d","id":1410076988474916865,"indNo":4,"isActive":1,"desc":"托伐普坦禁忌证"},{"formItemId":1409810599264706562,"isDefault":0,"updateDate":1700189491000,"code":"e","id":1410076988613328898,"indNo":5,"isActive":1,"desc":"低容量性低钠血症"},{"formItemId":1409810599264706562,"isDefault":0,"updateDate":1700189491000,"code":"f","id":1410076988747546625,"indNo":6,"isActive":1,"desc":"对口渴不敏感或对口渴不能正常反应"},{"formItemId":1409810599264706562,"isDefault":0,"updateDate":1700189491000,"code":"g","id":1410076988890152962,"indNo":7,"isActive":1,"desc":"与细胞色素P4503A4强效抑制剂（依曲康唑、克拉霉素等）合用"},{"formItemId":1409810599264706562,"isDefault":0,"updateDate":1700189491000,"code":"oth","id":1410076989095673857,"indNo":8,"isActive":1,"desc":"医师记录显示有不给予使用利尿剂+钾剂的其他原因"}]'><div style="display:inline-block;width:35%;" title="HF-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>使用利尿剂的禁忌证选择</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1409810599264706562" itemCode="HF-2-1"></div><a id="1409810599264706562_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810599264706562_Note"></span></div><div class="itemTR" id="1409810599889657857_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-2-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他使用利尿剂的禁忌证</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810599889657857" itemCode="HF-2-1-1"><a id="1409810599889657857_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810599889657857_Note"></span></div><div class="itemTR" id="1409810600300699650_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>首剂用药日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810600300699650" itemCode="HF-2-2"><a id="1409810600300699650_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810600300699650_Note"></span></div><div class="itemTR" id="1409810600875319298_Row" dic='[{"formItemId":1409810600875319298,"isDefault":0,"updateDate":1702956918000,"code":"def","matchRule":"","updateUser":"admin","id":1410076989208920065,"indNo":1,"isActive":1,"keyword":"","desc":"请选择"},{"formItemId":1409810600875319298,"isDefault":0,"updateDate":1702956918000,"code":"a","matchRule":"","updateUser":"admin","id":1410076989305389058,"indNo":2,"isActive":1,"keyword":"","desc":"呋塞米"},{"formItemId":1409810600875319298,"isDefault":0,"updateDate":1702956918000,"code":"b","matchRule":"","updateUser":"admin","id":1410076989431218178,"indNo":5,"isActive":1,"keyword":"氢氯噻嗪","desc":"噻嗪类：氢氯噻嗪"},{"formItemId":1409810600875319298,"isDefault":0,"updateDate":1702956918000,"code":"c","matchRule":"","updateUser":"admin","id":1410076989573824513,"indNo":6,"isActive":1,"keyword":"","desc":"吲达帕胺"},{"formItemId":1409810600875319298,"isDefault":0,"updateDate":1702956918000,"code":"d","matchRule":"","updateUser":"admin","id":1410076989703847937,"indNo":7,"isActive":1,"keyword":"","desc":"阿米洛利"},{"formItemId":1409810600875319298,"isDefault":0,"updateDate":1702956918000,"code":"e","matchRule":"","updateUser":"admin","id":1410076989825482753,"indNo":8,"isActive":1,"keyword":"","desc":"托伐普坦"},{"formItemId":1409810600875319298,"isDefault":0,"updateDate":1702956918000,"code":"oth","matchRule":"","updateUser":"admin","id":1410076989917757442,"indNo":9,"isActive":1,"keyword":"","desc":"其他利尿剂"},{"formItemId":1409810600875319298,"isDefault":0,"updateDate":1702956918000,"code":"g","matchRule":"","updateUser":"admin","id":1557872283559657474,"indNo":3,"isActive":1,"keyword":"","desc":"托拉塞米"},{"formItemId":1409810600875319298,"isDefault":0,"updateDate":1702956918000,"code":"h","matchRule":"","updateUser":"admin","id":1557872283609989121,"indNo":4,"isActive":1,"keyword":"","desc":"布美他尼"}]'><div style="display:inline-block;width:35%;" title="HF-2-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>常用利尿剂药物</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810600875319298" itemCode="HF-2-3"><a id="1409810600875319298_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810600875319298_Note"></span></div><div class="itemTR" id="1409810601248612353_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-2-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他利尿剂药物填写</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810601248612353" itemCode="HF-2-3-1"><a id="1409810601248612353_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810601248612353_Note"></span></div><div class="itemTR" id="1409810602368491522_Row" dic='[{"formItemId":1409810602368491522,"isDefault":0,"updateDate":1700189491000,"code":"a","id":1410076990257496066,"indNo":1,"isActive":1,"desc":"患者自身原因"},{"formItemId":1409810602368491522,"isDefault":0,"updateDate":1700189491000,"code":"b","id":1410076990387519489,"indNo":2,"isActive":1,"desc":"医师下达医嘱迟延"},{"formItemId":1409810602368491522,"isDefault":0,"updateDate":1700189491000,"code":"c","id":1410076990534320129,"indNo":3,"isActive":1,"desc":"护理服务流程原因"},{"formItemId":1409810602368491522,"isDefault":0,"updateDate":1700189491000,"code":"d","id":1410076990668537857,"indNo":4,"isActive":1,"desc":"药品供给"},{"formItemId":1409810602368491522,"isDefault":0,"updateDate":1700189491000,"code":"oth","id":1410076990765006850,"indNo":5,"isActive":1,"desc":"其他"},{"formItemId":1409810602368491522,"isDefault":0,"updateDate":1700189491000,"code":"UTD","id":1410076990857281537,"indNo":6,"isActive":1,"desc":"无法确定或无记录时间"}]'><div style="display:inline-block;width:35%;" title="HF-2-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>延迟治疗原因的选择</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1409810602368491522" itemCode="HF-2-4"></div><a id="1409810602368491522_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810602368491522_Note"></span></div><div class="itemTR" id="1409810602930528258_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-2-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他延迟治疗原因</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810602930528258" itemCode="HF-2-4-1"><a id="1409810602930528258_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810602930528258_Note"></span></div></div><div class="itemCat" id="Title3" onclick="objScreen.toggle('HF-3 肾素-血管紧张素系统抑制剂使用情况')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;HF-3 肾素-血管紧张素系统抑制剂使用情况</div><div title="HF-3 肾素-血管紧张素系统抑制剂使用情况"><p title="一般信息" class="itemsubCat">一般信息</p><div class="itemTR" id="1409810603320598530_Row" dic='[{"formItemId":1409810603320598530,"isDefault":0,"updateDate":1700189491000,"code":"a","id":1410076990970527746,"indNo":1,"isActive":1,"desc":"LVSD，≤40%"},{"formItemId":1409810603320598530,"isDefault":0,"updateDate":1700189491000,"code":"b","id":1410076991079579649,"indNo":2,"isActive":1,"desc":"LVSD，>40%"}]'><div style="display:inline-block;width:35%;" title="HF-3-1" class="itemDescTD">左心室收缩功能障碍</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810603320598530" itemCode="HF-3-1"><a id="1409810603320598530_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810603320598530_Note"></span></div><div class="itemTR" id="1409810603928772609_Row" dic='[{"formItemId":1409810603928772609,"isDefault":0,"updateDate":1700189491000,"code":"y","id":1410076991230574593,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1409810603928772609,"isDefault":0,"updateDate":1700189491000,"code":"n","id":1410076991377375234,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="HF-3-2-A" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否有ACEI抑制剂类药物禁忌证</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1409810603928772609" itemCode="HF-3-2-A"></div><a id="1409810603928772609_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810603928772609_Note"></span></div><div class="itemTR" id="1409810604448866306_Row" dic='[{"formItemId":1409810604448866306,"isDefault":0,"updateDate":1700189491000,"code":"a","id":1410076991536758786,"indNo":1,"isActive":1,"desc":"使用ACEI曾发生血管神经性水肿"},{"formItemId":1409810604448866306,"isDefault":0,"updateDate":1700189491000,"code":"b","id":1410076991633227777,"indNo":2,"isActive":1,"desc":"妊娠妇女"},{"formItemId":1409810604448866306,"isDefault":0,"updateDate":1700189491000,"code":"c","id":1410076991725502465,"indNo":3,"isActive":1,"desc":"双侧肾动脉狭窄"},{"formItemId":1409810604448866306,"isDefault":0,"updateDate":1700189491000,"code":"d","id":1410076991821971457,"indNo":4,"isActive":1,"desc":"血肌酐>221 μmol/L（2.5 mg/dl）或eGFR<30 ml·min-1·1.73 m-2"},{"formItemId":1409810604448866306,"isDefault":0,"updateDate":1700189491000,"code":"e","id":1410076991939411969,"indNo":5,"isActive":1,"desc":"血钾>5.0 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dic='[{"formItemId":1583282471196188674,"isDefault":0,"updateDate":1700189491000,"code":"y","id":1583282513441218562,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1583282471196188674,"isDefault":0,"updateDate":1700189491000,"code":"n","id":1583282513478967298,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="HF-3-4-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否使用肾素-血管紧张素系统抑制剂药物</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1583282471196188674" itemCode="HF-3-4-6"><a id="1583282471196188674_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1583282471196188674_Note"></span></div><div class="itemTR" id="1566586039655522306_Row" 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dic='[{"formItemId":1409810605027680257,"isDefault":0,"updateDate":1700189491000,"code":"def","id":1410076992547586049,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1409810605027680257,"isDefault":0,"updateDate":1700189491000,"code":"a","id":1410076992639860738,"indNo":4,"isActive":1,"desc":"福辛普利"},{"formItemId":1409810605027680257,"isDefault":0,"updateDate":1700189491000,"code":"b","id":1410076992740524034,"indNo":5,"isActive":1,"desc":"培哚普利"},{"formItemId":1409810605027680257,"isDefault":0,"updateDate":1700189491000,"code":"c","id":1410076992857964545,"indNo":6,"isActive":1,"desc":"雷米普利"},{"formItemId":1409810605027680257,"isDefault":0,"updateDate":1700189491000,"code":"d","id":1410076992983793666,"indNo":7,"isActive":1,"desc":"贝那普利"},{"formItemId":1409810605027680257,"isDefault":0,"updateDate":1700189491000,"code":"oth","id":1410076993138982913,"indNo":8,"isActive":1,"desc":"其他ACEI药物"},{"formItemId":1409810605027680257,"isDefault":0,"updateDate":1700189491000,"code":"f","id":1557872285057024002,"indNo":2,"isActive":1,"desc":"卡托普利"},{"formItemId":1409810605027680257,"isDefault":0,"updateDate":1700189491000,"code":"g","id":1557872285157687298,"indNo":3,"isActive":1,"desc":"依那普利"}]'><div style="display:inline-block;width:35%;" title="HF-3-4-A" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>ACE抑制剂药物</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810605027680257" itemCode="HF-3-4-A"><a id="1409810605027680257_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810605027680257_Note"></span></div><div class="itemTR" id="1409810605564551169_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-3-4-A-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他ACEI药物</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810605564551169" itemCode="HF-3-4-A-1"><a id="1409810605564551169_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810605564551169_Note"></span></div><div class="itemTR" id="1409810606013341698_Row" dic='[{"formItemId":1409810606013341698,"isDefault":0,"updateDate":1700189491000,"code":"def","id":1410076993273200641,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1409810606013341698,"isDefault":0,"updateDate":1700189491000,"code":"a","id":1410076993365475330,"indNo":3,"isActive":1,"desc":"缬沙坦"},{"formItemId":1409810606013341698,"isDefault":0,"updateDate":1700189491000,"code":"b","id":1410076993457750017,"indNo":4,"isActive":1,"desc":"氯沙坦"},{"formItemId":1409810606013341698,"isDefault":0,"updateDate":1700189491000,"code":"c","id":1410076993550024706,"indNo":5,"isActive":1,"desc":"厄贝沙坦"},{"formItemId":1409810606013341698,"isDefault":0,"updateDate":1700189491000,"code":"d","id":1410076993667465218,"indNo":6,"isActive":1,"desc":"替米沙坦"},{"formItemId":1409810606013341698,"isDefault":0,"updateDate":1700189491000,"code":"oth","id":1410076993805877250,"indNo":7,"isActive":1,"desc":"其他ARB药物"},{"formItemId":1409810606013341698,"isDefault":0,"updateDate":1700189491000,"code":"f","id":1557872285510008834,"indNo":2,"isActive":1,"desc":"坎地沙坦"}]'><div style="display:inline-block;width:35%;" title="HF-3-4-B" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>ARB类药物</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810606013341698" itemCode="HF-3-4-B"><a id="1409810606013341698_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810606013341698_Note"></span></div><div class="itemTR" id="1409810606747344898_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-3-4-B-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他ARB类药物填写</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810606747344898" itemCode="HF-3-4-B-1"><a id="1409810606747344898_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810606747344898_Note"></span></div><div 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id="1409810608102105089_Note"></span></div><div class="itemTR" id="1409810608706084866_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-3-4-C-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他使用血管紧张素受体脑啡肽酶抑制剂（ARNI）类药物</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810608706084866" itemCode="HF-3-4-C-1"><a id="1409810608706084866_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810608706084866_Note"></span></div><div class="itemTR" id="1409810609121320962_Row" dic='[{"formItemId":1409810609121320962,"isDefault":0,"updateDate":1700189491000,"code":"UTD","id":1410076995672342529,"indNo":1,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="HF-3-3-1" class="itemDescTD">首剂用药日期是否未确定</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1409810609121320962" itemCode="HF-3-3-1"></div><a id="1409810609121320962_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810609121320962_Note"></span></div><div class="itemTR" id="1409810609716912129_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-3-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>首剂用药日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810609716912129" itemCode="HF-3-3"><a id="1409810609716912129_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810609716912129_Note"></span></div><div class="itemTR" id="1409810610132148226_Row" dic='[{"formItemId":1409810610132148226,"isDefault":0,"updateDate":1700189491000,"code":"y","id":1410076995819143170,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1409810610132148226,"isDefault":0,"updateDate":1700189491000,"code":"n","id":1410076995915612162,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="HF-3-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>入院至使用首剂ACEI/ARB类药物时间大于24小时</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1409810610132148226" itemCode="HF-3-6"></div><a id="1409810610132148226_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810610132148226_Note"></span></div><div class="itemTR" id="1409810610761293825_Row" dic='[{"formItemId":1409810610761293825,"isDefault":0,"updateDate":1700189491000,"code":"a","id":1410076996033052673,"indNo":1,"isActive":1,"desc":"患者自身原因"},{"formItemId":1409810610761293825,"isDefault":0,"updateDate":1700189491000,"code":"b","id":1410076996125327361,"indNo":2,"isActive":1,"desc":"医师下达医嘱迟延"},{"formItemId":1409810610761293825,"isDefault":0,"updateDate":1700189491000,"code":"c","id":1410076996234379265,"indNo":3,"isActive":1,"desc":"护理服务流程原因"},{"formItemId":1409810610761293825,"isDefault":0,"updateDate":1700189491000,"code":"d","id":1410076996356014081,"indNo":4,"isActive":1,"desc":"药品供给"},{"formItemId":1409810610761293825,"isDefault":0,"updateDate":1700189491000,"code":"oth","id":1410076996481843202,"indNo":5,"isActive":1,"desc":"其他"},{"formItemId":1409810610761293825,"isDefault":0,"updateDate":1700189491000,"code":"UTD","id":1410076996628643841,"indNo":6,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="HF-3-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>延迟治疗原因</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1409810610761293825" itemCode="HF-3-5"></div><a id="1409810610761293825_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810610761293825_Note"></span></div><div class="itemTR" id="1409810611147169793_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-3-5-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他延迟治疗原因</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810611147169793" itemCode="HF-3-5-1"><a id="1409810611147169793_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810611147169793_Note"></span></div></div><div class="itemCat" id="Title4" onclick="objScreen.toggle('HF-4 到达医院后β受体阻滞剂情况')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;HF-4 到达医院后β受体阻滞剂情况</div><div title="HF-4 到达医院后β受体阻滞剂情况"><p title="一般信息" class="itemsubCat">一般信息</p><div class="itemTR" id="1409810611805675522_Row" dic='[{"formItemId":1409810611805675522,"isDefault":0,"updateDate":1700189491000,"code":"y","id":1410076996741890049,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1409810611805675522,"isDefault":0,"updateDate":1700189491000,"code":"n","id":1410076996834164738,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="HF-4-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否有禁忌证与须慎用的情况</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1409810611805675522" itemCode="HF-4-1-1"></div><a id="1409810611805675522_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810611805675522_Note"></span></div><div class="itemTR" 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style="display:inline-block;width:35%;" title="HF-4-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>β-受体阻滞剂禁忌证选择</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1409810612225105921" itemCode="HF-4-1-2"></div><a id="1409810612225105921_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810612225105921_Note"></span></div><div class="itemTR" id="1409810612820697089_Row" 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class="itemTR" id="1409810614112542722_Row" dic='[{"formItemId":1409810614112542722,"isDefault":0,"updateDate":1700189491000,"code":"UTD","id":1410076998818070529,"indNo":1,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="HF-4-2-1" class="itemDescTD">首剂用药日期是否未确定</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1409810614112542722" itemCode="HF-4-2-1"></div><a id="1409810614112542722_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810614112542722_Note"></span></div><div class="itemTR" id="1409810614498418690_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-4-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>首剂用药日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810614498418690" itemCode="HF-4-2"><a id="1409810614498418690_Source" style="width: 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dic='[{"formItemId":1409810615408582657,"isDefault":0,"updateDate":1700189491000,"code":"a","id":1410076999254278146,"indNo":1,"isActive":1,"desc":"患者自身原因"},{"formItemId":1409810615408582657,"isDefault":0,"updateDate":1700189491000,"code":"b","id":1410076999346552833,"indNo":2,"isActive":1,"desc":"医师下达医嘱迟延"},{"formItemId":1409810615408582657,"isDefault":0,"updateDate":1700189491000,"code":"c","id":1410076999443021825,"indNo":3,"isActive":1,"desc":"护理服务流程原因"},{"formItemId":1409810615408582657,"isDefault":0,"updateDate":1700189491000,"code":"d","id":1410076999535296513,"indNo":4,"isActive":1,"desc":"药品供给"},{"formItemId":1409810615408582657,"isDefault":0,"updateDate":1700189491000,"code":"oth","id":1410076999652737026,"indNo":5,"isActive":1,"desc":"其他"},{"formItemId":1409810615408582657,"isDefault":0,"updateDate":1700189491000,"code":"UTD","id":1410076999791149058,"indNo":6,"isActive":1,"desc":"无法确定或无记录时间"}]'><div style="display:inline-block;width:35%;" title="HF-4-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>延迟治疗原因</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1409810615408582657" itemCode="HF-4-4"></div><a id="1409810615408582657_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810615408582657_Note"></span></div><div class="itemTR" id="1409810615962230785_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-4-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他延迟治疗原因</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810615962230785" itemCode="HF-4-4-1"><a id="1409810615962230785_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810615962230785_Note"></span></div></div><div class="itemCat" id="Title5" onclick="objScreen.toggle('HF-5 到达医院后醛固酮拮抗剂使用情况')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;HF-5 到达医院后醛固酮拮抗剂使用情况</div><div title="HF-5 到达医院后醛固酮拮抗剂使用情况"><p title="一般信息" class="itemsubCat">一般信息</p><div class="itemTR" id="1491953507329150977_Row" dic='[{"formItemId":1491953507329150977,"isDefault":0,"updateDate":1700189491000,"code":"y","id":1491953517261262849,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1491953507329150977,"isDefault":0,"updateDate":1700189491000,"code":"n","id":1491953517265457153,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="HF-5-6-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否有醛固酮受体拮抗剂的禁忌证</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1491953507329150977" itemCode="HF-5-6-1"></div><a id="1491953507329150977_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1491953507329150977_Note"></span></div><div class="itemTR" id="1409810617086304257_Row" dic='[{"formItemId":1409810617086304257,"isDefault":0,"updateDate":1700189491000,"code":"a","id":1410077000223162370,"indNo":1,"isActive":1,"desc":"肌酐>221 μmoL/L(2.5 mg/dl）或eGFR<30 ml·min-1·1.73 m-2"},{"formItemId":1409810617086304257,"isDefault":0,"updateDate":1700189491000,"code":"b","id":1410077000315437058,"indNo":2,"isActive":1,"desc":"血钾>5.0 mmol/L"},{"formItemId":1409810617086304257,"isDefault":0,"updateDate":1700189491000,"code":"c","id":1410077000411906050,"indNo":3,"isActive":1,"desc":"妊娠妇女"},{"formItemId":1409810617086304257,"isDefault":0,"updateDate":1700189491000,"code":"d","id":1410077000533540865,"indNo":4,"isActive":1,"desc":"临床医生记录不使用或不能使用醛固酮受体拮抗的其他原因"}]'><div style="display:inline-block;width:35%;" title="HF-5-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>醛固酮受体拮抗剂的禁忌证</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1409810617086304257" itemCode="HF-5-1-2"></div><a id="1409810617086304257_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810617086304257_Note"></span></div><div class="itemTR" id="1409810617639952386_Row" dic='[{"formItemId":1409810617639952386,"isDefault":0,"updateDate":1700189491000,"code":"def","id":1410077000697118721,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1409810617639952386,"isDefault":0,"updateDate":1700189491000,"code":"a","id":1410077000852307969,"indNo":2,"isActive":1,"desc":"LVEF≤35%、使用ACEI/ARB/ARNI和β受体阻滞剂治疗后仍有症状的HFrEF患者"},{"formItemId":1409810617639952386,"isDefault":0,"updateDate":1700189491000,"code":"b","id":1410077000982331394,"indNo":3,"isActive":1,"desc":"急性心肌梗死后且LVEF≤40%，有心衰症状或合并糖尿病者"},{"formItemId":1409810617639952386,"isDefault":0,"updateDate":1700189491000,"code":"oth","id":1410077001087188993,"indNo":4,"isActive":1,"desc":"其他适用症"}]'><div style="display:inline-block;width:35%;" title="HF-5-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>重度心衰使用醛固酮受体拮抗剂适用症</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810617639952386" itemCode="HF-5-2"><a id="1409810617639952386_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810617639952386_Note"></span></div><div class="itemTR" id="1409810618273292289_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-5-2-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他重度心衰使用醛固酮受体拮抗剂适用症</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810618273292289" itemCode="HF-5-2-1-1"><a id="1409810618273292289_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810618273292289_Note"></span></div><div class="itemTR" id="1409810618923409410_Row" dic='[{"formItemId":1409810618923409410,"isDefault":0,"updateDate":1700189491000,"code":"UTD","id":1410077001217212418,"indNo":1,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="HF-5-3-1" class="itemDescTD">首剂用药日期是否未确定</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1409810618923409410" itemCode="HF-5-3-1"></div><a id="1409810618923409410_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810618923409410_Note"></span></div><div class="itemTR" id="1409810619351228418_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-5-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>首剂用药日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810619351228418" itemCode="HF-5-3"><a id="1409810619351228418_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810619351228418_Note"></span></div><div class="itemTR" id="1409810619858739201_Row" dic='[{"formItemId":1409810619858739201,"isDefault":0,"updateDate":1700189491000,"code":"y","id":1410077001380790274,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1409810619858739201,"isDefault":0,"updateDate":1700189491000,"code":"n","id":1410077001515008002,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="HF-5-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>入院至使用首剂醛固酮受体拮抗剂时间大于24小时</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1409810619858739201" itemCode="HF-5-6"></div><a id="1409810619858739201_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810619858739201_Note"></span></div><div class="itemTR" id="1409810620253003778_Row" dic='[{"formItemId":1409810620253003778,"isDefault":0,"updateDate":1700189491000,"code":"def","id":1410077001699557378,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1409810620253003778,"isDefault":0,"updateDate":1700189491000,"code":"a","id":1410077001816997890,"indNo":2,"isActive":1,"desc":"螺内酯"},{"formItemId":1409810620253003778,"isDefault":0,"updateDate":1700189491000,"code":"b","id":1410077001926049793,"indNo":3,"isActive":1,"desc":"依普利酮"},{"formItemId":1409810620253003778,"isDefault":0,"updateDate":1700189491000,"code":"oth","id":1410077002035101697,"indNo":4,"isActive":1,"desc":"其他醛固酮受体拮抗剂类药物"}]'><div style="display:inline-block;width:35%;" title="HF-5-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>使用醛固酮受体拮抗剂</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810620253003778" itemCode="HF-5-4"><a id="1409810620253003778_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810620253003778_Note"></span></div><div class="itemTR" id="1409810620827623426_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-5-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他醛固酮受体拮抗剂类药物</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810620827623426" itemCode="HF-5-4-1"><a id="1409810620827623426_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810620827623426_Note"></span></div><div class="itemTR" id="1409810621247053826_Row" dic='[{"formItemId":1409810621247053826,"isDefault":0,"updateDate":1700189491000,"code":"a","id":1410077002173513730,"indNo":1,"isActive":1,"desc":"患者自身原因"},{"formItemId":1409810621247053826,"isDefault":0,"updateDate":1700189491000,"code":"b","id":1410077002295148545,"indNo":2,"isActive":1,"desc":"医师下达医嘱迟延"},{"formItemId":1409810621247053826,"isDefault":0,"updateDate":1700189491000,"code":"c","id":1410077002454532097,"indNo":3,"isActive":1,"desc":"护理服务流程原因"},{"formItemId":1409810621247053826,"isDefault":0,"updateDate":1700189491000,"code":"d","id":1410077002618109954,"indNo":4,"isActive":1,"desc":"药品供给"},{"formItemId":1409810621247053826,"isDefault":0,"updateDate":1700189491000,"code":"oth","id":1410077002731356161,"indNo":5,"isActive":1,"desc":"其他"},{"formItemId":1409810621247053826,"isDefault":0,"updateDate":1700189491000,"code":"UTD","id":1410077002840408066,"indNo":6,"isActive":1,"desc":"无法确定或无记录时间"}]'><div style="display:inline-block;width:35%;" title="HF-5-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>延迟治疗原因</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1409810621247053826" itemCode="HF-5-5"></div><a id="1409810621247053826_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810621247053826_Note"></span></div><div class="itemTR" id="1409810621972668418_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-5-5-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他延迟治疗原因</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810621972668418" itemCode="HF-5-5-1"><a id="1409810621972668418_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810621972668418_Note"></span></div></div><div class="itemCat" id="Title6" onclick="objScreen.toggle('HF-5a: 到达医院后SGLT-2抑制剂药物使用情况 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id="1491953507605975042_Note"></span></div><div class="itemTR" id="1491953507626946562_Row" dic='[{"formItemId":1491953507626946562,"isDefault":0,"updateDate":1702968824000,"code":"def","matchRule":"","updateUser":"admin","id":1491953517399674881,"indNo":1,"isActive":1,"keyword":"","desc":"请选择"},{"formItemId":1491953507626946562,"isDefault":0,"updateDate":1702968824000,"code":"a","matchRule":"","updateUser":"admin","id":1491953517399674882,"indNo":2,"isActive":1,"keyword":"","desc":"对SGLT-2 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id="1491953507626946562_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1491953507626946562_Note"></span></div><div class="itemTR" id="1491953507652112386_Row" dic='[{"formItemId":1491953507652112386,"isDefault":0,"updateDate":1700189491000,"code":"UTD","id":1491953519870119938,"indNo":1,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="HF-5-7-1" class="itemDescTD">SGLT-2抑制剂药物用药日期是否无法确定或无记录</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1491953507652112386" itemCode="HF-5-7-1"></div><a id="1491953507652112386_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1491953507652112386_Note"></span></div><div class="itemTR" id="1557872244363886593_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-5-7-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>SGLT-2抑制剂药物用药日期</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1557872244363886593" itemCode="HF-5-7-4"><a id="1557872244363886593_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1557872244363886593_Note"></span></div><div class="itemTR" id="1491953507689861121_Row" dic='[{"formItemId":1491953507689861121,"isDefault":0,"updateDate":1700189491000,"code":"def","id":1491953517420646402,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1491953507689861121,"isDefault":0,"updateDate":1700189491000,"code":"a","id":1491953517424840706,"indNo":2,"isActive":1,"desc":"恩格列净"},{"formItemId":1491953507689861121,"isDefault":0,"updateDate":1700189491000,"code":"b","id":1491953517424840707,"indNo":3,"isActive":1,"desc":"达格列净"},{"formItemId":1491953507689861121,"isDefault":0,"updateDate":1700189491000,"code":"oth","id":1491953517429035010,"indNo":4,"isActive":1,"desc":"其他SGLT-2 抑制剂药物"}]'><div style="display:inline-block;width:35%;" title="HF-5-7-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>SGLT-2拮抗剂抑制剂药物的选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1491953507689861121" itemCode="HF-5-7-3"><a id="1491953507689861121_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1491953507689861121_Note"></span></div><div class="itemTR" id="1491953507706638337_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-5-7-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他SGLT-2 抑制剂药物</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1491953507706638337" itemCode="HF-5-7-3-1"><a id="1491953507706638337_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1491953507706638337_Note"></span></div><div class="itemTR" id="1491953507723415553_Row" dic='[{"formItemId":1491953507723415553,"isDefault":0,"updateDate":1700189491000,"code":"y","id":1491953517437423618,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1491953507723415553,"isDefault":0,"updateDate":1700189491000,"code":"n","id":1491953517441617921,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="HF-5-8-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>入院至使用首剂SGLT-2抑制剂药物时间大于24小时</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1491953507723415553" itemCode="HF-5-8-1"></div><a id="1491953507723415553_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1491953507723415553_Note"></span></div><div class="itemTR" id="1491953507756969986_Row" dic='[{"formItemId":1491953507756969986,"isDefault":0,"updateDate":1700189491000,"code":"a","id":1491953517445812225,"indNo":1,"isActive":1,"desc":"患者自身原因"},{"formItemId":1491953507756969986,"isDefault":0,"updateDate":1700189491000,"code":"b","id":1491953517450006530,"indNo":2,"isActive":1,"desc":"医师下达医嘱迟延"},{"formItemId":1491953507756969986,"isDefault":0,"updateDate":1700189491000,"code":"c","id":1491953517454200834,"indNo":3,"isActive":1,"desc":"护理服务流程原因"},{"formItemId":1491953507756969986,"isDefault":0,"updateDate":1700189491000,"code":"d","id":1491953517458395137,"indNo":4,"isActive":1,"desc":"药品供给"},{"formItemId":1491953507756969986,"isDefault":0,"updateDate":1700189491000,"code":"oth","id":1491953517458395138,"indNo":5,"isActive":1,"desc":"其他"},{"formItemId":1491953507756969986,"isDefault":0,"updateDate":1700189491000,"code":"UTD","id":1491953517462589442,"indNo":6,"isActive":1,"desc":"无法确定或无记录时间"}]'><div style="display:inline-block;width:35%;" title="HF-5-8-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>延迟治疗的原因</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1491953507756969986" itemCode="HF-5-8-2"></div><a id="1491953507756969986_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1491953507756969986_Note"></span></div><div class="itemTR" id="1491953507790524417_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-5-8-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>延迟治疗的其他原因</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1491953507790524417" itemCode="HF-5-8-2-1"><a id="1491953507790524417_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1491953507790524417_Note"></span></div></div><div class="itemCat" id="Title7" onclick="objScreen.toggle('HF-6 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id="1409810622375321601_Note"></span></div><div class="itemTR" id="1409810622954135554_Row" dic='[{"formItemId":1409810622954135554,"isDefault":0,"updateDate":1702963439000,"code":"def","matchRule":"","updateUser":"admin","id":1410077003318558722,"indNo":1,"isActive":1,"keyword":"","desc":"请选择"},{"formItemId":1409810622954135554,"isDefault":0,"updateDate":1702963439000,"code":"a","matchRule":"","updateUser":"admin","id":1410077003461165057,"indNo":2,"isActive":1,"keyword":"(呋塞米|托拉塞米|布美他尼)","desc":"襻利尿剂：呋塞米又称速尿；托拉塞米，布美他尼"},{"formItemId":1409810622954135554,"isDefault":0,"updateDate":1702963439000,"code":"b","matchRule":"","updateUser":"admin","id":1410077003582799874,"indNo":4,"isActive":1,"keyword":"氢氯噻嗪","desc":"噻嗪类：氢氯噻嗪（又称双氢克尿嗪DCT)"},{"formItemId":1409810622954135554,"isDefault":0,"updateDate":1702963439000,"code":"c","matchRule":"","updateUser":"admin","id":1410077003687657474,"indNo":5,"isActive":1,"keyword":"","desc":"吲达帕胺"},{"formItemId":1409810622954135554,"isDefault":0,"updateDate":1702963439000,"code":"d","matchRule":"","updateUser":"admin","id":1410077003805097985,"indNo":6,"isActive":1,"keyword":"","desc":"阿米洛利"},{"formItemId":1409810622954135554,"isDefault":0,"updateDate":1702963439000,"code":"e","matchRule":"","updateUser":"admin","id":1410077003918344193,"indNo":3,"isActive":1,"keyword":"","desc":"托伐普坦"},{"formItemId":1409810622954135554,"isDefault":0,"updateDate":1702963439000,"code":"oth","matchRule":"","updateUser":"admin","id":1410077004044173313,"indNo":7,"isActive":1,"keyword":"","desc":"其他利尿剂"}]'><div style="display:inline-block;width:35%;" title="HF-6-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>常用利尿剂药物的选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810622954135554" itemCode="HF-6-1-2"><a id="1409810622954135554_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810622954135554_Note"></span></div><div class="itemTR" id="1409810623377760258_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-6-1-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他常用利尿剂</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810623377760258" itemCode="HF-6-1-2-1"><a id="1409810623377760258_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810623377760258_Note"></span></div><div 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dic='[{"formItemId":1409810624355033089,"isDefault":0,"updateDate":1700189491000,"code":"def","id":1410077004509741058,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1409810624355033089,"isDefault":0,"updateDate":1700189491000,"code":"a","id":1410077004610404354,"indNo":2,"isActive":1,"desc":"使用ACE抑制剂药物"},{"formItemId":1409810624355033089,"isDefault":0,"updateDate":1700189491000,"code":"b","id":1410077004736233473,"indNo":3,"isActive":1,"desc":"使用ARB类药物"},{"formItemId":1409810624355033089,"isDefault":0,"updateDate":1700189491000,"code":"c","id":1410077004912394241,"indNo":4,"isActive":1,"desc":"使用血管紧张素受体脑啡肽酶抑制剂（ARNI）类药物"}]'><div style="display:inline-block;width:35%;" title="HF-6-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>使用ACEI抑制剂或者ARB或者ARNI类药物选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810624355033089" itemCode="HF-6-2-2"><a id="1409810624355033089_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810624355033089_Note"></span></div><div class="itemTR" id="1409810624959012866_Row" dic='[{"formItemId":1409810624959012866,"isDefault":0,"updateDate":1700189491000,"code":"def","id":1410077005143080961,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1409810624959012866,"isDefault":0,"updateDate":1700189491000,"code":"a","id":1410077005256327170,"indNo":4,"isActive":1,"desc":"福辛普利"},{"formItemId":1409810624959012866,"isDefault":0,"updateDate":1700189491000,"code":"b","id":1410077005361184769,"indNo":5,"isActive":1,"desc":"培哚普利"},{"formItemId":1409810624959012866,"isDefault":0,"updateDate":1700189491000,"code":"c","id":1410077005461848066,"indNo":6,"isActive":1,"desc":"雷米普利"},{"formItemId":1409810624959012866,"isDefault":0,"updateDate":1700189491000,"code":"d","id":1410077005587677186,"indNo":7,"isActive":1,"desc":"贝那普利"},{"formItemId":1409810624959012866,"isDefault":0,"updateDate":1700189491000,"code":"oth","id":1410077005721894914,"indNo":8,"isActive":1,"desc":"其他ACEI药物"},{"formItemId":1409810624959012866,"isDefault":0,"updateDate":1700189491000,"code":"f","id":1557872292279615490,"indNo":2,"isActive":1,"desc":"卡托普利"},{"formItemId":1409810624959012866,"isDefault":0,"updateDate":1700189491000,"code":"g","id":1557872292329947138,"indNo":3,"isActive":1,"desc":"依那普利"}]'><div style="display:inline-block;width:35%;" title="HF-6-2-2-A" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>ACE抑制剂药物</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810624959012866" itemCode="HF-6-2-2-A"><a id="1409810624959012866_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810624959012866_Note"></span></div><div class="itemTR" id="1409810625374248961_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-6-2-2-A-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他ACEI药物填写</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810625374248961" itemCode="HF-6-2-2-A-1"><a id="1409810625374248961_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810625374248961_Note"></span></div><div class="itemTR" id="1409810626141806593_Row" dic='[{"formItemId":1409810626141806593,"isDefault":0,"updateDate":1700189491000,"code":"def","id":1410077005969358849,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1409810626141806593,"isDefault":0,"updateDate":1700189491000,"code":"a","id":1410077006107770882,"indNo":3,"isActive":1,"desc":"缬沙坦"},{"formItemId":1409810626141806593,"isDefault":0,"updateDate":1700189491000,"code":"b","id":1410077006221017089,"indNo":4,"isActive":1,"desc":"氯沙坦"},{"formItemId":1409810626141806593,"isDefault":0,"updateDate":1700189491000,"code":"c","id":1410077006321680386,"indNo":5,"isActive":1,"desc":"厄贝沙坦"},{"formItemId":1409810626141806593,"isDefault":0,"updateDate":1700189491000,"code":"d","id":1410077006439120898,"indNo":6,"isActive":1,"desc":"替米沙坦"},{"formItemId":1409810626141806593,"isDefault":0,"updateDate":1700189491000,"code":"oth","id":1410077006564950018,"indNo":7,"isActive":1,"desc":"其他ARB药物"},{"formItemId":1409810626141806593,"isDefault":0,"updateDate":1700189491000,"code":"f","id":1557872292715823106,"indNo":2,"isActive":1,"desc":"坎地沙坦"}]'><div style="display:inline-block;width:35%;" title="HF-6-2-2-B" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>ARB类药物</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810626141806593" itemCode="HF-6-2-2-B"><a id="1409810626141806593_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810626141806593_Note"></span></div><div class="itemTR" id="1409810626515099649_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-6-2-2-B-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他ARB药物填写</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810626515099649" itemCode="HF-6-2-2-B-1"><a id="1409810626515099649_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810626515099649_Note"></span></div><div class="itemTR" id="1409810626909364226_Row" dic='[{"formItemId":1409810626909364226,"isDefault":0,"updateDate":1700189491000,"code":"def","id":1410077006778859521,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1409810626909364226,"isDefault":0,"updateDate":1700189491000,"code":"a","id":1410077006938243074,"indNo":2,"isActive":1,"desc":"沙库巴曲缬沙坦钠片"},{"formItemId":1409810626909364226,"isDefault":0,"updateDate":1700189491000,"code":"oth","id":1410077007047294978,"indNo":3,"isActive":1,"desc":"其他ARNI药物（列出药物通用名）"}]'><div style="display:inline-block;width:35%;" title="HF-6-2-2-C" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>使用血管紧张素受体脑啡肽酶抑制剂（ARNI）类药物的选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810626909364226" itemCode="HF-6-2-2-C"><a id="1409810626909364226_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810626909364226_Note"></span></div><div class="itemTR" id="1409810627450429442_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-6-2-2-C-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他使用血管紧张素受体脑啡肽酶抑制剂（ARNI）类药物</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810627450429442" itemCode="HF-6-2-2-C-1"><a id="1409810627450429442_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810627450429442_Note"></span></div><div class="itemTR" id="1409810627928580098_Row" dic='[{"formItemId":1409810627928580098,"isDefault":0,"updateDate":1700189491000,"code":"y","id":1410077007168929793,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1409810627928580098,"isDefault":0,"updateDate":1700189491000,"code":"n","id":1410077007286370306,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="HF-6-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否有β受体阻滞剂药物医嘱</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1409810627928580098" itemCode="HF-6-3-1"></div><a id="1409810627928580098_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810627928580098_Note"></span></div><div class="itemTR" id="1409810628385759234_Row" dic='[{"formItemId":1409810628385759234,"isDefault":0,"updateDate":1700189491000,"code":"def","id":1410077007496085505,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1409810628385759234,"isDefault":0,"updateDate":1700189491000,"code":"a","id":1410077007680634881,"indNo":2,"isActive":1,"desc":"琥珀酸美托洛尔"},{"formItemId":1409810628385759234,"isDefault":0,"updateDate":1700189491000,"code":"b","id":1410077007802269697,"indNo":8,"isActive":1,"desc":"普萘洛尔"},{"formItemId":1409810628385759234,"isDefault":0,"updateDate":1700189491000,"code":"c","id":1410077007911321601,"indNo":6,"isActive":1,"desc":"阿替洛尔"},{"formItemId":1409810628385759234,"isDefault":0,"updateDate":1700189491000,"code":"d","id":1410077008016179202,"indNo":3,"isActive":1,"desc":"比索洛尔"},{"formItemId":1409810628385759234,"isDefault":0,"updateDate":1700189491000,"code":"e","id":1410077008137814018,"indNo":7,"isActive":1,"desc":"拉贝洛尔"},{"formItemId":1409810628385759234,"isDefault":0,"updateDate":1700189491000,"code":"f","id":1410077008322363394,"indNo":9,"isActive":1,"desc":"塞利洛尔"},{"formItemId":1409810628385759234,"isDefault":0,"updateDate":1700189491000,"code":"g","id":1410077008540467201,"indNo":4,"isActive":1,"desc":"卡维地洛"},{"formItemId":1409810628385759234,"isDefault":0,"updateDate":1700189491000,"code":"oth","id":1410077008678879233,"indNo":10,"isActive":1,"desc":"其他β-受体阻滞剂药物"},{"formItemId":1409810628385759234,"isDefault":0,"updateDate":1700189491000,"code":"j","id":1557872293546295298,"indNo":5,"isActive":1,"desc":"酒石酸美托洛尔"}]'><div style="display:inline-block;width:35%;" title="HF-6-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>使用首剂β-受体阻滞剂药物</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810628385759234" itemCode="HF-6-3-2"><a id="1409810628385759234_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810628385759234_Note"></span></div><div class="itemTR" id="1409810628872298498_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-6-3-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他β-受体阻滞剂药物填写</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810628872298498" itemCode="HF-6-3-2-1"><a id="1409810628872298498_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810628872298498_Note"></span></div><div class="itemTR" id="1409810629283340289_Row" dic='[{"formItemId":1409810629283340289,"isDefault":0,"updateDate":1700189491000,"code":"y","id":1410077008817291266,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1409810629283340289,"isDefault":0,"updateDate":1700189491000,"code":"n","id":1410077008922148866,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="HF-6-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否有醛固酮拮抗剂药物医嘱</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1409810629283340289" itemCode="HF-6-4-1"></div><a id="1409810629283340289_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810629283340289_Note"></span></div><div class="itemTR" id="1409810629774073857_Row" dic='[{"formItemId":1409810629774073857,"isDefault":0,"updateDate":1700189491000,"code":"def","id":1410077009102503938,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1409810629774073857,"isDefault":0,"updateDate":1700189491000,"code":"a","id":1410077009257693186,"indNo":2,"isActive":1,"desc":"螺内酯"},{"formItemId":1409810629774073857,"isDefault":0,"updateDate":1700189491000,"code":"b","id":1410077009450631169,"indNo":3,"isActive":1,"desc":"依普利酮"},{"formItemId":1409810629774073857,"isDefault":0,"updateDate":1700189491000,"code":"oth","id":1410077009580654594,"indNo":4,"isActive":1,"desc":"其他醛固酮受体拮抗剂类药物（列出药品通用名）"}]'><div style="display:inline-block;width:35%;" title="HF-6-4-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>使用醛固酮受体拮抗剂</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810629774073857" itemCode="HF-6-4-2"><a id="1409810629774073857_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810629774073857_Note"></span></div><div class="itemTR" id="1409810630231252994_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-6-4-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他醛固酮受体拮抗剂类药物填写</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810630231252994" itemCode="HF-6-4-2-1"><a id="1409810630231252994_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810630231252994_Note"></span></div><div class="itemTR" id="1409810630864592897_Row" dic='[{"formItemId":1409810630864592897,"isDefault":0,"updateDate":1700189491000,"code":"y","id":1410077009710678018,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1409810630864592897,"isDefault":0,"updateDate":1700189491000,"code":"n","id":1410077009823924225,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="HF-6-5-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否常用抗凝药物</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1409810630864592897" itemCode="HF-6-5-1"></div><a id="1409810630864592897_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810630864592897_Note"></span></div><div class="itemTR" id="1409810631279828994_Row" 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style="display:inline-block;width:35%;" title="HF-7-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>常用利尿剂药物</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810633028853762" itemCode="HF-7-1-2"><a id="1409810633028853762_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810633028853762_Note"></span></div><div class="itemTR" id="1409810633414729730_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-7-1-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他常用利尿剂</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810633414729730" itemCode="HF-7-1-2-1"><a id="1409810633414729730_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810633414729730_Note"></span></div><div 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id="1409810635834843137_Note"></span></div><div class="itemTR" id="1409810636409462785_Row" 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style="display:inline-block;width:35%;" title="HF-7-2-2-B" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>ARB类药物</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810636409462785" itemCode="HF-7-2-2-B"><a id="1409810636409462785_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810636409462785_Note"></span></div><div class="itemTR" id="1409810636803727362_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-7-2-2-B-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他ARB药物填写</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810636803727362" itemCode="HF-7-2-2-B-1"><a id="1409810636803727362_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810636803727362_Note"></span></div><div class="itemTR" id="1409810637504176130_Row" dic='[{"formItemId":1409810637504176130,"isDefault":0,"updateDate":1700189491000,"code":"def","id":1410077015138107394,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1409810637504176130,"isDefault":0,"updateDate":1700189491000,"code":"a","id":1410077015372988418,"indNo":2,"isActive":1,"desc":"沙库巴曲缬沙坦钠片"},{"formItemId":1409810637504176130,"isDefault":0,"updateDate":1700189491000,"code":"oth","id":1410077015515594754,"indNo":3,"isActive":1,"desc":"其他ARNI药物"}]'><div style="display:inline-block;width:35%;" title="HF-7-2-2-C" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>使用血管紧张素受体脑啡肽酶抑制剂（ARNI）类药物的选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810637504176130" itemCode="HF-7-2-2-C"><a id="1409810637504176130_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span 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style="display:inline-block;width:35%;" title="HF-9-2-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>实施末次X线胸片检查</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1409810651316019201" itemCode="HF-9-2-1-1"></div><a id="1409810651316019201_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810651316019201_Note"></span></div><div class="itemTR" id="1409810651852890114_Row" dic='[{"formItemId":1409810651852890114,"isDefault":0,"updateDate":1700189491000,"code":"y","id":1410077088735559682,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1409810651852890114,"isDefault":0,"updateDate":1700189491000,"code":"n","id":1410077088840417281,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="HF-9-2-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否有肺淤血或肺水肿</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1409810651852890114" itemCode="HF-9-2-1-2"></div><a id="1409810651852890114_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810651852890114_Note"></span></div><div class="itemTR" id="1409810652335235073_Row" dic='[{"formItemId":1409810652335235073,"isDefault":0,"updateDate":1702965336000,"code":"y","matchRule":"","updateUser":"admin","id":1410077088957857794,"indNo":1,"isActive":1,"keyword":"","desc":"是"},{"formItemId":1409810652335235073,"isDefault":1,"updateDate":1702965336000,"code":"n","matchRule":"","updateUser":"admin","id":1410077089058521090,"indNo":2,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="HF-9-2-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否实施末次超声心动图(CDFA)检查</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1409810652335235073" itemCode="HF-9-2-2-1"></div><a id="1409810652335235073_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810652335235073_Note"></span></div><div class="itemTR" id="1409810652947603458_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-9-2-2-2-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>QRS宽度(ms)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810652947603458" itemCode="HF-9-2-2-2-4"><a id="1409810652947603458_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810652947603458_Note"></span></div><div class="itemTR" id="1409810653417365505_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-9-2-2-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>左室射血分（LVEF）测量值(%)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810653417365505" itemCode="HF-9-2-2-2-1"><a id="1409810653417365505_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810653417365505_Note"></span></div><div class="itemTR" id="1409810654050705409_Row" dic='[{"formItemId":1409810654050705409,"isDefault":0,"updateDate":1700189491000,"code":"def","id":1410077089171767297,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1409810654050705409,"isDefault":0,"updateDate":1700189491000,"code":"a","id":1410077089276624898,"indNo":2,"isActive":1,"desc":"A-LVEF≤40%，射血分数降低性心衰(HF-REF)"},{"formItemId":1409810654050705409,"isDefault":0,"updateDate":1700189491000,"code":"b","id":1410077089377288193,"indNo":3,"isActive":1,"desc":"B-LVEF≥50%，射血分数保持性心衰(HF-PEF)"},{"formItemId":1409810654050705409,"isDefault":0,"updateDate":1700189491000,"code":"c","id":1410077089477951490,"indNo":4,"isActive":1,"desc":"C-LVEF41-49%，边缘性HF-PEF"},{"formItemId":1409810654050705409,"isDefault":0,"updateDate":1700189491000,"code":"d","id":1410077089578614785,"indNo":5,"isActive":1,"desc":"D-LVEF＞40%，已改善的HF-PEF"}]'><div style="display:inline-block;width:35%;" title="HF-9-2-2-2-2" class="itemDescTD">左室射血分数评估结论</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810654050705409" itemCode="HF-9-2-2-2-2"><a id="1409810654050705409_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810654050705409_Note"></span></div><div class="itemTR" id="1409810654503690242_Row" dic='[{"formItemId":1409810654503690242,"isDefault":0,"updateDate":1700189491000,"code":"y","id":1410077089704443906,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1409810654503690242,"isDefault":0,"updateDate":1700189491000,"code":"n","id":1410077089805107202,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="HF-9-2-2-2-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否有左心室室壁瘤</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1409810654503690242" itemCode="HF-9-2-2-2-3"></div><a id="1409810654503690242_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810654503690242_Note"></span></div><div class="itemTR" id="1409810655086698497_Row" dic='[{"formItemId":1409810655086698497,"isDefault":1,"updateDate":1702965356000,"code":"y","matchRule":"","updateUser":"admin","id":1410077089926742018,"indNo":1,"isActive":1,"keyword":"","desc":"是"},{"formItemId":1409810655086698497,"isDefault":0,"updateDate":1702965356000,"code":"n","matchRule":"","updateUser":"admin","id":1410077090023211010,"indNo":2,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="HF-9-2-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>实施末次风险程度评估</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1409810655086698497" itemCode="HF-9-2-3-1"></div><a id="1409810655086698497_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810655086698497_Note"></span></div><div class="itemTR" id="1409810655493545985_Row" dic='[{"formItemId":1409810655493545985,"isDefault":0,"updateDate":1702965371000,"code":"def","matchRule":"","updateUser":"admin","id":1410077090157428738,"indNo":1,"isActive":1,"keyword":"","desc":"请选择"},{"formItemId":1409810655493545985,"isDefault":1,"updateDate":1702965371000,"code":"a","matchRule":"","updateUser":"admin","id":1410077090253897729,"indNo":2,"isActive":1,"keyword":"","desc":"NYHA分级结果"},{"formItemId":1409810655493545985,"isDefault":0,"updateDate":1702965371000,"code":"b","matchRule":"","updateUser":"admin","id":1410077090358755329,"indNo":3,"isActive":1,"keyword":"","desc":"Killip分级评估结果"}]'><div style="display:inline-block;width:35%;" title="HF-9-2-3-2-AB" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>末次风险程度评估</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810655493545985" itemCode="HF-9-2-3-2-AB"><a id="1409810655493545985_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810655493545985_Note"></span></div><div class="itemTR" id="1409810656189800450_Row" dic='[{"formItemId":1409810656189800450,"isDefault":0,"updateDate":1700189491000,"code":"def","id":1410077090492973058,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1409810656189800450,"isDefault":0,"updateDate":1700189491000,"code":"a","id":1410077090593636354,"indNo":2,"isActive":1,"desc":"Ⅰ级 :患有心脏病"},{"formItemId":1409810656189800450,"isDefault":0,"updateDate":1700189491000,"code":"b","id":1410077090694299650,"indNo":3,"isActive":1,"desc":"Ⅱ级 :患有心脏病"},{"formItemId":1409810656189800450,"isDefault":0,"updateDate":1700189491000,"code":"c","id":1410077090794962945,"indNo":4,"isActive":1,"desc":"Ⅲ级 :患有心脏病"},{"formItemId":1409810656189800450,"isDefault":0,"updateDate":1700189491000,"code":"d","id":1410077090891431938,"indNo":5,"isActive":1,"desc":"Ⅳ级 :患有心脏病"},{"formItemId":1409810656189800450,"isDefault":0,"updateDate":1700189491000,"code":"e","id":1410077091008872450,"indNo":6,"isActive":1,"desc":"心力衰竭患者的LVEF与心功能分级症状并非完全一致"}]'><div style="display:inline-block;width:35%;" title="HF-9-2-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>NYHA分级结果</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810656189800450" itemCode="HF-9-2-3-2"><a id="1409810656189800450_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810656189800450_Note"></span></div><div class="itemTR" id="1409810656613425154_Row" dic='[{"formItemId":1409810656613425154,"isDefault":0,"updateDate":1700189491000,"code":"def","id":1410077091134701570,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1409810656613425154,"isDefault":0,"updateDate":1700189491000,"code":"a","id":1410077091231170562,"indNo":2,"isActive":1,"desc":"Ⅰ级：无心力衰竭征象"},{"formItemId":1409810656613425154,"isDefault":0,"updateDate":1700189491000,"code":"b","id":1410077091331833857,"indNo":3,"isActive":1,"desc":"Ⅱ级：轻至中度心力衰竭"},{"formItemId":1409810656613425154,"isDefault":0,"updateDate":1700189491000,"code":"c","id":1410077091440885762,"indNo":4,"isActive":1,"desc":"Ⅲ级：重度心力衰竭，"},{"formItemId":1409810656613425154,"isDefault":0,"updateDate":1700189491000,"code":"d","id":1410077091549937666,"indNo":5,"isActive":1,"desc":"Ⅳ级：出现心源性休克"}]'><div style="display:inline-block;width:35%;" title="HF-9-2-3-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>Killip分级评估结果</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810656613425154" itemCode="HF-9-2-3-3"><a id="1409810656613425154_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810656613425154_Note"></span></div><div class="itemTR" id="1409810657183850498_Row" dic='[{"formItemId":1409810657183850498,"isDefault":0,"updateDate":1702965999000,"code":"y","matchRule":"","updateUser":"admin","id":1410077091671572482,"indNo":1,"isActive":1,"keyword":"","desc":"是"},{"formItemId":1409810657183850498,"isDefault":0,"updateDate":1702965999000,"code":"n","matchRule":"","updateUser":"admin","id":1410077091768041474,"indNo":2,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="HF-9-2-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>实施末次检测</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1409810657183850498" itemCode="HF-9-2-4-1"></div><a id="1409810657183850498_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810657183850498_Note"></span></div><div class="itemTR" id="1409810657636835330_Row" dic='[{"formItemId":1409810657636835330,"isDefault":0,"updateDate":1700189491000,"code":"a","id":1410077091902259201,"indNo":1,"isActive":1,"desc":"肌钙蛋白T（TnT）"},{"formItemId":1409810657636835330,"isDefault":0,"updateDate":1700189491000,"code":"b","id":1410077092002922498,"indNo":2,"isActive":1,"desc":"肌钙蛋白I（TnI）"},{"formItemId":1409810657636835330,"isDefault":0,"updateDate":1700189491000,"code":"c","id":1410077092107780097,"indNo":3,"isActive":1,"desc":"肌酸激酶同工酶（CK-MB）"},{"formItemId":1409810657636835330,"isDefault":0,"updateDate":1700189491000,"code":"d","id":1410077092212637697,"indNo":4,"isActive":1,"desc":"心肌肌红蛋白（Myo）"},{"formItemId":1409810657636835330,"isDefault":0,"updateDate":1700189491000,"code":"e","id":1410077092309106690,"indNo":5,"isActive":1,"desc":"B型钠尿肽（BNP）"},{"formItemId":1409810657636835330,"isDefault":0,"updateDate":1700189491000,"code":"f","id":1410077092409769985,"indNo":6,"isActive":1,"desc":"N端B型钠尿肽前体（NT-ProBNP）"},{"formItemId":1409810657636835330,"isDefault":0,"updateDate":1700189491000,"code":"i","id":1565211148914044929,"indNo":7,"isActive":1,"desc":"血肌酐"},{"formItemId":1409810657636835330,"isDefault":0,"updateDate":1700189491000,"code":"j","id":1565211148960182274,"indNo":8,"isActive":1,"desc":"血钾"}]'><div style="display:inline-block;width:35%;" title="HF-9-2-4-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>末次检测选择</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1409810657636835330" itemCode="HF-9-2-4-2"></div><a id="1409810657636835330_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810657636835330_Note"></span></div><div class="itemTR" id="1409810658215649281_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-9-2-4-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>肌钙蛋白T（TnT）检测值(ng/mL)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810658215649281" itemCode="HF-9-2-4-2-1"><a id="1409810658215649281_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810658215649281_Note"></span></div><div class="itemTR" id="1409810658635079682_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-9-2-4-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>肌钙蛋白I（TnI）检测值(ng/mL)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810658635079682" itemCode="HF-9-2-4-2-2"><a id="1409810658635079682_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810658635079682_Note"></span></div><div class="itemTR" id="1409810659184533506_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-9-2-4-2-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>肌酸激酶同工酶（CK-MB）检测值(ng/mL)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810659184533506" itemCode="HF-9-2-4-2-3"><a id="1409810659184533506_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810659184533506_Note"></span></div><div class="itemTR" id="1409810659771736066_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-9-2-4-2-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>心肌肌红蛋白（Myo）检测值(ng/mL)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810659771736066" itemCode="HF-9-2-4-2-4"><a id="1409810659771736066_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810659771736066_Note"></span></div><div class="itemTR" id="1409810660409270273_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-9-2-4-2-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>B型钠尿肽（BNP）检测值(ng/L)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810660409270273" itemCode="HF-9-2-4-2-5"><a id="1409810660409270273_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810660409270273_Note"></span></div><div class="itemTR" id="1409810660841283585_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-9-2-4-2-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>N端B型钠尿肽前体（NT-ProBNP）检测值(ng/L)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810660841283585" itemCode="HF-9-2-4-2-6"><a id="1409810660841283585_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810660841283585_Note"></span></div><div class="itemTR" id="1565211085215150082_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-9-2-4-2-7" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>血肌酐 检测值(umol/L)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1565211085215150082" itemCode="HF-9-2-4-2-7"><a id="1565211085215150082_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1565211085215150082_Note"></span></div><div class="itemTR" id="1565211085336784898_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-9-2-4-2-8" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>血钾 检测值(mmol/L)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1565211085336784898" itemCode="HF-9-2-4-2-8"><a id="1565211085336784898_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1565211085336784898_Note"></span></div><div class="itemTR" id="1491953510265163777_Row" dic='[{"formItemId":1491953510265163777,"isDefault":0,"updateDate":1702965397000,"code":"y","matchRule":"","updateUser":"admin","id":1491953519073202178,"indNo":1,"isActive":1,"keyword":"","desc":"是"},{"formItemId":1491953510265163777,"isDefault":1,"updateDate":1702965397000,"code":"n","matchRule":"","updateUser":"admin","id":1491953519077396481,"indNo":2,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="HF-9-5-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否实施末次心电图（ECG）检查</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1491953510265163777" itemCode="HF-9-5-1"></div><a id="1491953510265163777_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1491953510265163777_Note"></span></div><div class="itemTR" id="1491953510281940993_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-9-5-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>QRS宽度(ms)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1491953510281940993" itemCode="HF-9-5-2"><a id="1491953510281940993_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1491953510281940993_Note"></span></div><div class="itemTR" id="1491953510298718210_Row" dic='[{"formItemId":1491953510298718210,"isDefault":0,"updateDate":1700189491000,"code":"def","id":1491953519085785089,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1491953510298718210,"isDefault":0,"updateDate":1700189491000,"code":"a","id":1491953519089979393,"indNo":2,"isActive":1,"desc":"房颤/房扑"},{"formItemId":1491953510298718210,"isDefault":0,"updateDate":1700189491000,"code":"b","id":1491953519094173697,"indNo":3,"isActive":1,"desc":"ST段抬高心肌梗死"},{"formItemId":1491953510298718210,"isDefault":0,"updateDate":1700189491000,"code":"c","id":1491953519098368001,"indNo":4,"isActive":1,"desc":"非ST段抬高心肌梗死"},{"formItemId":1491953510298718210,"isDefault":0,"updateDate":1700189491000,"code":"d","id":1491953519102562306,"indNo":5,"isActive":1,"desc":"新发LBBB/RBBB"},{"formItemId":1491953510298718210,"isDefault":0,"updateDate":1700189491000,"code":"e","id":1491953519102562307,"indNo":6,"isActive":1,"desc":"正常或大致正常ECG"},{"formItemId":1491953510298718210,"isDefault":0,"updateDate":1700189491000,"code":"oth","id":1491953519110950913,"indNo":7,"isActive":1,"desc":"其他"},{"formItemId":1491953510298718210,"isDefault":0,"updateDate":1700189491000,"code":"UTD","id":1491953519115145217,"indNo":8,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="HF-9-5-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>心电图（ECG）检查结果选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1491953510298718210" itemCode="HF-9-5-3"><a id="1491953510298718210_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1491953510298718210_Note"></span></div><div class="itemTR" id="1491953510315495425_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-9-5-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他心电图（ECG）检查结果</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1491953510315495425" itemCode="HF-9-5-3-1"><a id="1491953510315495425_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1491953510315495425_Note"></span></div><div class="itemTR" id="1565211086368583681_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-9-5-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>收缩压(mmHg)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1565211086368583681" itemCode="HF-9-5-4-1"><a id="1565211086368583681_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1565211086368583681_Note"></span></div><div class="itemTR" id="1565211086544744450_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-9-5-4-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>舒张压(mmHg)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1565211086544744450" itemCode="HF-9-5-4-2"><a id="1565211086544744450_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1565211086544744450_Note"></span></div><div class="itemTR" id="1565211086653796354_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-9-5-4-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>心率(次/分)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1565211086653796354" itemCode="HF-9-5-4-3"><a id="1565211086653796354_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1565211086653796354_Note"></span></div></div><div class="itemCat" id="Title12" onclick="objScreen.toggle('HF-10 患者对服务的体验与评价')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;HF-10 患者对服务的体验与评价</div><div title="HF-10 患者对服务的体验与评价"><p title="一般信息" class="itemsubCat">一般信息</p><div class="itemTR" id="1409810661545926657_Row" dic='[{"formItemId":1409810661545926657,"isDefault":1,"updateDate":1701949577000,"code":"y","updateUser":"batch","id":1410077092531404802,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1409810661545926657,"isDefault":0,"updateDate":1700189491000,"code":"n","id":1410077092632068098,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CM-5-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者是否对服务的体验与评价</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1409810661545926657" itemCode="CM-5-1"></div><a id="1409810661545926657_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810661545926657_Note"></span></div><div class="itemTR" id="1409810662321872897_Row" dic='[{"formItemId":1409810662321872897,"isDefault":0,"updateDate":1700189491000,"code":"def","id":1410077092757897218,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1409810662321872897,"isDefault":1,"updateDate":1701949585000,"code":"a","updateUser":"batch","id":1410077092858560514,"indNo":2,"isActive":1,"desc":"患者给医院整体评分9或10分"},{"formItemId":1409810662321872897,"isDefault":0,"updateDate":1700189491000,"code":"b","id":1410077092959223809,"indNo":3,"isActive":1,"desc":"患者给医院整体评分7或8分"},{"formItemId":1409810662321872897,"isDefault":0,"updateDate":1700189491000,"code":"c","id":1410077093080858625,"indNo":4,"isActive":1,"desc":"患者给医院整体评分6分及以下"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>整体医院评级</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810662321872897" itemCode="CM-5-2-1"><a id="1409810662321872897_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810662321872897_Note"></span></div><div class="itemTR" id="1409810662766469122_Row" dic='[{"formItemId":1409810662766469122,"isDefault":0,"updateDate":1700189491000,"code":"def","id":1410077093202493441,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1409810662766469122,"isDefault":1,"updateDate":1701949599000,"code":"a","updateUser":"batch","id":1410077093303156738,"indNo":2,"isActive":1,"desc":"说是的患者，他们肯定会给家人和朋友推荐这家医院"},{"formItemId":1409810662766469122,"isDefault":0,"updateDate":1700189491000,"code":"b","id":1410077093399625730,"indNo":3,"isActive":1,"desc":"说是的患者，他们可能会给家人和朋友推荐这家医院"},{"formItemId":1409810662766469122,"isDefault":0,"updateDate":1700189491000,"code":"c","id":1410077093512871938,"indNo":4,"isActive":1,"desc":"说不的患者，他们可能或肯定不会给家人和朋友推荐这家医院"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者推荐</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810662766469122" itemCode="CM-5-2-2"><a id="1409810662766469122_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810662766469122_Note"></span></div><div class="itemTR" id="1409810663399809026_Row" dic='[{"formItemId":1409810663399809026,"isDefault":0,"updateDate":1700189491000,"code":"def","id":1410077093630312450,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1409810663399809026,"isDefault":1,"updateDate":1701949606000,"code":"a","updateUser":"batch","id":1410077093726781442,"indNo":2,"isActive":1,"desc":"患者说他们的房间和浴室“总是”干净"},{"formItemId":1409810663399809026,"isDefault":0,"updateDate":1700189491000,"code":"b","id":1410077093848416257,"indNo":3,"isActive":1,"desc":"患者说他们的房间和浴室“经常”干净"},{"formItemId":1409810663399809026,"isDefault":0,"updateDate":1700189491000,"code":"c","id":1410077093953273858,"indNo":4,"isActive":1,"desc":"患者说他们的房间和浴室“有时”或“从不”干净"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>病房、床单元和卫生间清洁度</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810663399809026" itemCode="CM-5-2-3"><a id="1409810663399809026_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810663399809026_Note"></span></div><div class="itemTR" id="1409810663806656514_Row" dic='[{"formItemId":1409810663806656514,"isDefault":0,"updateDate":1700189491000,"code":"def","id":1410077094070714370,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1409810663806656514,"isDefault":1,"updateDate":1701949613000,"code":"a","updateUser":"batch","id":1410077094175571970,"indNo":2,"isActive":1,"desc":"患者说他们房间周边在晚上“总是”安静"},{"formItemId":1409810663806656514,"isDefault":0,"updateDate":1700189491000,"code":"b","id":1410077094276235266,"indNo":3,"isActive":1,"desc":"患者说他们房间周边在晚上“经常”安静"},{"formItemId":1409810663806656514,"isDefault":0,"updateDate":1700189491000,"code":"c","id":1410077094376898562,"indNo":4,"isActive":1,"desc":"患者说他们房间周边在晚上“有时”或“从不”安静"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>病房与周边噪音</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810663806656514" itemCode="CM-5-2-5"><a id="1409810663806656514_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810663806656514_Note"></span></div><div class="itemTR" id="1409810664356110337_Row" dic='[{"formItemId":1409810664356110337,"isDefault":0,"updateDate":1700189491000,"code":"def","id":1410077094498533377,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1409810664356110337,"isDefault":1,"updateDate":1701949622000,"code":"a","updateUser":"batch","id":1410077094607585282,"indNo":2,"isActive":1,"desc":"患者说他们的医生“总是”很好沟通"},{"formItemId":1409810664356110337,"isDefault":0,"updateDate":1700189491000,"code":"b","id":1410077094704054273,"indNo":3,"isActive":1,"desc":"患者说他们的医生“经常”很好沟通"},{"formItemId":1409810664356110337,"isDefault":0,"updateDate":1700189491000,"code":"c","id":1410077094817300481,"indNo":4,"isActive":1,"desc":"患者说他们的医生“有时”或“从不”很好沟通"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>医生沟通</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810664356110337" itemCode="CM-5-2-6"><a id="1409810664356110337_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810664356110337_Note"></span></div><div class="itemTR" id="1409810665018810369_Row" dic='[{"formItemId":1409810665018810369,"isDefault":0,"updateDate":1700189491000,"code":"def","id":1410077094934740994,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1409810665018810369,"isDefault":1,"updateDate":1701949630000,"code":"a","updateUser":"batch","id":1410077095031209986,"indNo":2,"isActive":1,"desc":"患者说他们的护士“总是”很好沟通"},{"formItemId":1409810665018810369,"isDefault":0,"updateDate":1700189491000,"code":"b","id":1410077095127678977,"indNo":3,"isActive":1,"desc":"患者说他们的护士“经常”很好沟通"},{"formItemId":1409810665018810369,"isDefault":0,"updateDate":1700189491000,"code":"c","id":1410077095236730881,"indNo":4,"isActive":1,"desc":"患者说他们的护士“有时”或“从不”很好沟通"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-7" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>护士沟通</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810665018810369" itemCode="CM-5-2-7"><a id="1409810665018810369_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810665018810369_Note"></span></div><div class="itemTR" id="1409810665501155330_Row" dic='[{"formItemId":1409810665501155330,"isDefault":0,"updateDate":1700189491000,"code":"def","id":1410077095354171394,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1409810665501155330,"isDefault":1,"updateDate":1701949637000,"code":"a","updateUser":"batch","id":1410077095450640386,"indNo":2,"isActive":1,"desc":"患者说医院员工在给药前“总是”进行药品说明"},{"formItemId":1409810665501155330,"isDefault":0,"updateDate":1700189491000,"code":"b","id":1410077095555497986,"indNo":3,"isActive":1,"desc":"患者说医院员工在给药前“经常”进行药品说明"},{"formItemId":1409810665501155330,"isDefault":0,"updateDate":1700189491000,"code":"c","id":1410077095664549889,"indNo":4,"isActive":1,"desc":"患者说医院员工在给药前“有时”或“从不”进行药品说明"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-8" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>药师沟通</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810665501155330" itemCode="CM-5-2-8"><a id="1409810665501155330_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810665501155330_Note"></span></div><div class="itemTR" id="1409810665991888898_Row" dic='[{"formItemId":1409810665991888898,"isDefault":0,"updateDate":1700189491000,"code":"def","id":1410077095786184706,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1409810665991888898,"isDefault":1,"updateDate":1701949643000,"code":"a","updateUser":"batch","id":1410077095886848001,"indNo":2,"isActive":1,"desc":"患者说医生护士已经提供了出院后在家康复期间应该做什么的信息"},{"formItemId":1409810665991888898,"isDefault":0,"updateDate":1700189491000,"code":"b","id":1410077095987511298,"indNo":3,"isActive":1,"desc":"患者说医生护士说了出院后要在家做康复，但没有理解应该具体如何做"},{"formItemId":1409810665991888898,"isDefault":0,"updateDate":1700189491000,"code":"c","id":1410077096096563202,"indNo":4,"isActive":1,"desc":"患者说医生护士没有提供出院后在家康复期间应该做什么的信息"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-9" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>康复计划</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810665991888898" itemCode="CM-5-2-9"><a id="1409810665991888898_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810665991888898_Note"></span></div><div class="itemTR" id="1409810666394542082_Row" dic='[{"formItemId":1409810666394542082,"isDefault":0,"updateDate":1700189491000,"code":"def","id":1410077096214003714,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1409810666394542082,"isDefault":1,"updateDate":1701949655000,"code":"a","updateUser":"batch","id":1410077096432107521,"indNo":2,"isActive":1,"desc":"患者强烈同意医生护士在离院时理解了他们的知情告知"},{"formItemId":1409810666394542082,"isDefault":0,"updateDate":1700189491000,"code":"b","id":1410077096536965122,"indNo":3,"isActive":1,"desc":"患者同意医生护士在离院时理解了他们的知情告知"},{"formItemId":1409810666394542082,"isDefault":0,"updateDate":1700189491000,"code":"c","id":1410077096633434113,"indNo":4,"isActive":1,"desc":"患者在离院时不理解医生护士的知情告知"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-10" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>出院时的知情告知</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810666394542082" itemCode="CM-5-2-10"><a id="1409810666394542082_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810666394542082_Note"></span></div><div class="itemTR" id="1409810666960773121_Row" dic='[{"formItemId":1409810666960773121,"isDefault":0,"updateDate":1700189491000,"code":"def","id":1410077096750874626,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1409810666960773121,"isDefault":1,"updateDate":1701949661000,"code":"a","updateUser":"batch","id":1410077096851537922,"indNo":2,"isActive":1,"desc":"患者给医院膳食评分9或10分"},{"formItemId":1409810666960773121,"isDefault":0,"updateDate":1700189491000,"code":"b","id":1410077096968978434,"indNo":3,"isActive":1,"desc":"患者给医院膳食评分7或8分"},{"formItemId":1409810666960773121,"isDefault":0,"updateDate":1700189491000,"code":"c","id":1410077097069641730,"indNo":4,"isActive":1,"desc":"患者给医院膳食评分6分及以下"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-11" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>膳食评价</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810666960773121" itemCode="CM-5-2-11"><a id="1409810666960773121_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810666960773121_Note"></span></div></div><div class="itemCat" id="Title13" onclick="objScreen.toggle('HF-11 慢性HFrEF患者的心脏植入型电子器械治疗临床应用符合适应症')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;HF-11 慢性HFrEF患者的心脏植入型电子器械治疗临床应用符合适应症</div><div title="HF-11 慢性HFrEF患者的心脏植入型电子器械治疗临床应用符合适应症"><p title="一般信息" class="itemsubCat">一般信息</p><div class="itemTR" id="1491953510583930881_Row" dic='[{"formItemId":1491953510583930881,"isDefault":0,"updateDate":1700189491000,"code":"def","id":1491953519555547138,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1491953510583930881,"isDefault":0,"updateDate":1700189491000,"code":"a","id":1491953519559741441,"indNo":2,"isActive":1,"desc":"是，心衰患者已经有药物优化治疗至少3个月后的记录"},{"formItemId":1491953510583930881,"isDefault":0,"updateDate":1700189491000,"code":"b","id":1491953519563935746,"indNo":3,"isActive":1,"desc":"否，有优化药物治疗记录，但时间不足三个月"},{"formItemId":1491953510583930881,"isDefault":0,"updateDate":1700189491000,"code":"c","id":1491953519568130049,"indNo":4,"isActive":1,"desc":"否，无优化药物治疗，或记录不完整"}]'><div style="display:inline-block;width:35%;" title="HF-11-4-2" class="itemDescTD">是否有在药物优化治疗超过3个月后实施CRT的记录</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1491953510583930881" itemCode="HF-11-4-2"><a id="1491953510583930881_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1491953510583930881_Note"></span></div><div class="itemTR" id="1565211089669500929_Row" dic='[{"formItemId":1565211089669500929,"isDefault":0,"updateDate":1700189491000,"code":"def","id":1565211155301969922,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1565211089669500929,"isDefault":0,"updateDate":1700189491000,"code":"a","id":1565211155364884482,"indNo":2,"isActive":1,"desc":"Ⅰ,A 对于已接收优化药物治疗，仍有症状的窦性心律患者，LVEF≤35%, QRS间期≥150ms,QRS波呈LBBB形态，推荐使用CRT"},{"formItemId":1565211089669500929,"isDefault":0,"updateDate":1700189491000,"code":"b","id":1565211155419410434,"indNo":3,"isActive":1,"desc":"Ⅱa,B 对于已接收优化药物治疗，仍有症状的窦性心律患者，如果QRS间期为130-149ms,且呈LBBB形态, 或.QRS间期≥150ms,且呈非LBBB形态, 伴LVEF≤35%.应考虑使用CRT"},{"formItemId":1565211089669500929,"isDefault":0,"updateDate":1700189491000,"code":"c","id":1565211155742371841,"indNo":4,"isActive":1,"desc":"Ⅱa,B 对于已接收优化药物治疗，仍有症状的窦性心律患者，QRS间期为130-149ms, QRS波呈非LBBB形态, LVEF≤35%.可以考虑使用CRT"},{"formItemId":1565211089669500929,"isDefault":0,"updateDate":1700189491000,"code":"d","id":1565211155809480706,"indNo":5,"isActive":1,"desc":"Ⅰ,A 对于有高度房室传导阻滞和右心室起博指征的HFrEF患者，无论NYHA分级和QRS间期如何,推荐使用CRT"},{"formItemId":1565211089669500929,"isDefault":0,"updateDate":1700189491000,"code":"e","id":1565211155859812353,"indNo":6,"isActive":1,"desc":"Ⅱa,B 植入了传统起博器或ICD的HFrEF患者，已接收优化药物治疗，仍 发生心衰恶化和出现高比例的右室起搏,LVEF≤35%.应考虑升级为CRT"}]'><div style="display:inline-block;width:35%;" title="HF-11-4-3" class="itemDescTD">CRT临床应用指南推荐意见的选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1565211089669500929" itemCode="HF-11-4-3"><a id="1565211089669500929_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1565211089669500929_Note"></span></div><div class="itemTR" id="1409810668206481409_Row" dic='[{"formItemId":1409810668206481409,"isDefault":0,"updateDate":1700189491000,"code":"def","id":1410077098164355073,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1409810668206481409,"isDefault":0,"updateDate":1700189491000,"code":"a","id":1410077098265018370,"indNo":2,"isActive":1,"desc":"双心室起搏"},{"formItemId":1409810668206481409,"isDefault":0,"updateDate":1700189491000,"code":"b","id":1410077098361487362,"indNo":3,"isActive":1,"desc":"单左心室起搏"},{"formItemId":1409810668206481409,"isDefault":0,"updateDate":1700189491000,"code":"c","id":1410077098466344961,"indNo":4,"isActive":1,"desc":"希氏束起搏"},{"formItemId":1409810668206481409,"isDefault":0,"updateDate":1700189491000,"code":"d","id":1410077098562813954,"indNo":5,"isActive":1,"desc":"其他"}]'><div style="display:inline-block;width:35%;" title="HF-11-1-2" class="itemDescTD">安装心脏再同步治疗（CRT）装置</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810668206481409" itemCode="HF-11-1-2"><a id="1409810668206481409_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810668206481409_Note"></span></div><div class="itemTR" id="1409810668663660546_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-11-1-3" class="itemDescTD">安装日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810668663660546" itemCode="HF-11-1-3"><a id="1409810668663660546_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810668663660546_Note"></span></div><div class="itemTR" id="1409810669200531457_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-11-1-4-1" class="itemDescTD">心脏再同步治疗（CRT）装置生产企业</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810669200531457" itemCode="HF-11-1-4-1"><a id="1409810669200531457_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810669200531457_Note"></span></div><div class="itemTR" id="1409810669821288450_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-11-1-4-2" class="itemDescTD">心脏再同步治疗（CRT）装置型号</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810669821288450" itemCode="HF-11-1-4-2"><a id="1409810669821288450_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810669821288450_Note"></span></div><div class="itemTR" id="1409810670223941634_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-11-1-4-3" class="itemDescTD">心脏再同步治疗（CRT）装置的费用(元)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810670223941634" itemCode="HF-11-1-4-3"><a id="1409810670223941634_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810670223941634_Note"></span></div><div class="itemTR" id="1409810670739841025_Row" dic='[{"formItemId":1409810670739841025,"isDefault":0,"updateDate":1700189491000,"code":"def","id":1410077098688643074,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1409810670739841025,"isDefault":0,"updateDate":1700189491000,"code":"y1","id":1410077098789306369,"indNo":2,"isActive":1,"desc":"是，缺血性心脏病患者，优化药物治疗至少3个月，心肌梗死后至少40 d及血运重建至少90 d，预期生存期>1年"},{"formItemId":1409810670739841025,"isDefault":0,"updateDate":1700189491000,"code":"y2","id":1410077098885775361,"indNo":3,"isActive":1,"desc":"是，非缺血性心衰患者，优化药物治疗至少3个月，预期生存期>1年，Ⅱa"},{"formItemId":1409810670739841025,"isDefault":0,"updateDate":1700189491000,"code":"n1","id":1410077098994827265,"indNo":4,"isActive":1,"desc":"否，有优化药物治疗记录，但时间不足三个月"},{"formItemId":1409810670739841025,"isDefault":0,"updateDate":1700189491000,"code":"n2","id":1410077099095490561,"indNo":5,"isActive":1,"desc":"否，无优化药物治疗，或记录不完整"}]'><div style="display:inline-block;width:35%;" title="HF-11-5-1" class="itemDescTD">是否有在药物优化治疗超过3个月后实施埋藏式心律转复除颤器（ICD）的记录</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810670739841025" itemCode="HF-11-5-1"><a id="1409810670739841025_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810670739841025_Note"></span></div><div class="itemTR" id="1409810671255740418_Row" dic='[{"formItemId":1409810671255740418,"isDefault":0,"updateDate":1700189491000,"code":"a","id":1410077099212931074,"indNo":1,"isActive":1,"desc":"一级预防"},{"formItemId":1409810671255740418,"isDefault":0,"updateDate":1700189491000,"code":"b","id":1410077099309400066,"indNo":2,"isActive":1,"desc":"二级预防"}]'><div style="display:inline-block;width:35%;" title="HF-11-5-2" class="itemDescTD">心衰患者植入ICD适应证</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810671255740418" itemCode="HF-11-5-2"><a id="1409810671255740418_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810671255740418_Note"></span></div><div class="itemTR" id="1409810671905857538_Row" dic='[{"formItemId":1409810671905857538,"isDefault":0,"updateDate":1700189491000,"code":"def","id":1410077099426840577,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1409810671905857538,"isDefault":0,"updateDate":1700189491000,"code":"a","id":1410077099540086786,"indNo":2,"isActive":1,"desc":"慢性心衰伴低LVEF，曾有心脏停搏、心室颤动（室颤）或伴血流动力学不稳定的室性心动过速（室速）（Ⅰ，A）"}]'><div style="display:inline-block;width:35%;" title="HF-11-5-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>二级预防适应证</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810671905857538" itemCode="HF-11-5-4"><a id="1409810671905857538_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810671905857538_Note"></span></div><div class="itemTR" id="1409810672274956289_Row" dic='[{"formItemId":1409810672274956289,"isDefault":0,"updateDate":1700189491000,"code":"def","id":1410077099661721602,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1409810672274956289,"isDefault":0,"updateDate":1700189491000,"code":"a","id":1410077099762384897,"indNo":2,"isActive":1,"desc":"缺血性心脏病患者，优化药物治疗至少3个月，心肌梗死后至少40 d及血运重建至少90 d，预期生存期>1年"},{"formItemId":1409810672274956289,"isDefault":0,"updateDate":1700189491000,"code":"b","id":1410077099858853889,"indNo":3,"isActive":1,"desc":"非缺血性心衰患者，优化药物治疗至少3个月，预期生存期>1年"}]'><div style="display:inline-block;width:35%;" title="HF-11-5-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>一级预防适应证</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810672274956289" itemCode="HF-11-5-3"><a id="1409810672274956289_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810672274956289_Note"></span></div><div class="itemTR" id="1409810672778272769_Row" dic='[{"formItemId":1409810672778272769,"isDefault":0,"updateDate":1700189491000,"code":"def","id":1410077099984683009,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1409810672778272769,"isDefault":0,"updateDate":1700189491000,"code":"a","id":1410077100081152002,"indNo":2,"isActive":1,"desc":"（Ⅱa）LVEF≤35%，NYHA心功能Ⅱ或Ⅲ级，推荐ICD植入，减少心脏性猝死和总死亡率"},{"formItemId":1409810672778272769,"isDefault":0,"updateDate":1700189491000,"code":"b","id":1410077100177620994,"indNo":3,"isActive":1,"desc":"（Ⅱa）LVEF≤30%，NYHA心功能Ⅰ级，推荐植入ICD，减少心脏性猝死和总死亡率"}]'><div style="display:inline-block;width:35%;" title="HF-11-5-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>缺血性心脏病患者</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810672778272769" itemCode="HF-11-5-3-1"><a id="1409810672778272769_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810672778272769_Note"></span></div><div class="itemTR" id="1409810673185120257_Row" dic='[{"formItemId":1409810673185120257,"isDefault":0,"updateDate":1700189491000,"code":"def","id":1410077100295061505,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1409810673185120257,"isDefault":0,"updateDate":1700189491000,"code":"a","id":1410077100399919106,"indNo":2,"isActive":1,"desc":"（Ⅱa）LVEF≤35%，NYHA心功能Ⅱ或Ⅲ级，推荐植入ICD，减少心脏性猝死和总死亡率"},{"formItemId":1409810673185120257,"isDefault":0,"updateDate":1700189491000,"code":"b","id":1410077100500582402,"indNo":3,"isActive":1,"desc":"（Ⅱb）LVEF≤35%，NYHA心功能Ⅰ级，可考虑植入ICD"}]'><div style="display:inline-block;width:35%;" title="HF-11-5-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>非缺血性心衰患者</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810673185120257" itemCode="HF-11-5-3-2"><a id="1409810673185120257_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810673185120257_Note"></span></div><div class="itemTR" id="1409810673684242434_Row" dic='[{"formItemId":1409810673684242434,"isDefault":0,"updateDate":1700189491000,"code":"y","id":1410077100618022914,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1409810673684242434,"isDefault":0,"updateDate":1700189491000,"code":"n","id":1410077100714491906,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="HF-11-2-2" class="itemDescTD">是否安装埋藏式心律转复除颤器（ICD）装置</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1409810673684242434" itemCode="HF-11-2-2"></div><a id="1409810673684242434_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810673684242434_Note"></span></div><div class="itemTR" id="1409810674095284225_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-11-2-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>安装日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810674095284225" itemCode="HF-11-2-3"><a id="1409810674095284225_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810674095284225_Note"></span></div><div class="itemTR" id="1409810674556657665_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-11-2-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>埋藏式心律转复除颤器（ICD）装置生产企业</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810674556657665" itemCode="HF-11-2-4-1"><a id="1409810674556657665_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810674556657665_Note"></span></div><div class="itemTR" id="1409810674963505154_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-11-2-4-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>埋藏式心律转复除颤器（ICD）装置型号</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810674963505154" itemCode="HF-11-2-4-2"><a id="1409810674963505154_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810674963505154_Note"></span></div><div class="itemTR" id="1409810675718479874_Row" dic='[]'><div style="display:inline-block;width:35%;" title="HF-11-2-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>埋藏式心律转复除颤器（ICD）装置的费用(元)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810675718479874" itemCode="HF-11-2-5"><a id="1409810675718479874_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810675718479874_Note"></span></div><div class="itemTR" id="1409810676121133057_Row" dic='[{"formItemId":1409810676121133057,"isDefault":0,"updateDate":1700189491000,"code":"a","id":1410077100840321025,"indNo":1,"isActive":1,"desc":"CRT治疗：在植入CRT前、后需给予患者CRT治疗的目的和方法、患肢活动范围及CRT植入后的注意事项等方面的指导"},{"formItemId":1409810676121133057,"isDefault":0,"updateDate":1700189491000,"code":"b","id":1410077100949372929,"indNo":2,"isActive":1,"desc":"ICD治疗：在植入ICD前、后应告知患者心脏预后，包括猝死与非猝死危险、ICD的有效性、安全性与危险以及ICD放电相关事件的发生"},{"formItemId":1409810676121133057,"isDefault":0,"updateDate":1700189491000,"code":"c","id":1410077101045841921,"indNo":3,"isActive":1,"desc":"住院期间心衰管理团队即应与患者进行接触和宣教，鼓励患者和家属参与随访"},{"formItemId":1409810676121133057,"isDefault":0,"updateDate":1700189491000,"code":"d","id":1410077101142310914,"indNo":4,"isActive":1,"desc":"根据病情和危险分层制定出院计划和随访方案"},{"formItemId":1409810676121133057,"isDefault":0,"updateDate":1700189491000,"code":"e","id":1410077101251362817,"indNo":5,"isActive":1,"desc":"出院后通过随访和患者教育，提高患者依从性和自我护理能力，进行药物调整、心理支持，如果心衰症状加重应及时处理"}]'><div style="display:inline-block;width:35%;" title="HF-11-3-1" class="itemDescTD">通过优化流程实现从医院到社区的无缝衔接</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1409810676121133057" itemCode="HF-11-3-1"></div><a id="1409810676121133057_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810676121133057_Note"></span></div></div><div class="itemCat" id="Title14" onclick="objScreen.toggle('HF-12 住院费用完成')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;HF-12 住院费用完成</div><div title="HF-12 住院费用完成"><p title="一般信息" class="itemsubCat">一般信息</p><div class="itemTR" id="1409810676641226753_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>住院总费用</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810676641226753" itemCode="CM-6-1"><a id="1409810676641226753_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810676641226753_Note"></span></div><div class="itemTR" id="1409810677073240065_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>住院总费用其中自付金额</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810677073240065" itemCode="CM-6-2"><a id="1409810677073240065_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810677073240065_Note"></span></div><div class="itemTR" id="1409810677496864770_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>一般医疗服务费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810677496864770" itemCode="CM-6-3"><a id="1409810677496864770_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810677496864770_Note"></span></div><div class="itemTR" id="1409810677903712258_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>一般治疗操作费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810677903712258" itemCode="CM-6-4"><a id="1409810677903712258_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810677903712258_Note"></span></div><div class="itemTR" id="1409810678352502786_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>护理费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810678352502786" itemCode="CM-6-5"><a id="1409810678352502786_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810678352502786_Note"></span></div><div class="itemTR" id="1409810678792904705_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>综合医疗服务类其他费用</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810678792904705" itemCode="CM-6-6"><a id="1409810678792904705_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810678792904705_Note"></span></div><div class="itemTR" id="1409810679212335106_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-7" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>病理诊断费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810679212335106" itemCode="CM-6-7"><a id="1409810679212335106_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810679212335106_Note"></span></div><div class="itemTR" id="1409810679652737025_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-8" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>实验室诊断费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810679652737025" itemCode="CM-6-8"><a id="1409810679652737025_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810679652737025_Note"></span></div><div class="itemTR" id="1409810680076361730_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-9" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>影像学诊断费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810680076361730" itemCode="CM-6-9"><a id="1409810680076361730_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810680076361730_Note"></span></div><div class="itemTR" id="1409810680567095297_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-10" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>临床诊断项目费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810680567095297" itemCode="CM-6-10"><a id="1409810680567095297_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810680567095297_Note"></span></div><div class="itemTR" id="1409810680978137089_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-11" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>非手术治疗项目费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810680978137089" itemCode="CM-6-11"><a id="1409810680978137089_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810680978137089_Note"></span></div><div class="itemTR" id="1409810681435316226_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-12" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：临床物理治疗费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810681435316226" itemCode="CM-6-12"><a id="1409810681435316226_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810681435316226_Note"></span></div><div class="itemTR" id="1409810681850552322_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-13" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术治疗费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810681850552322" itemCode="CM-6-13"><a id="1409810681850552322_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810681850552322_Note"></span></div><div class="itemTR" id="1409810682458726401_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-14" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：麻醉费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810682458726401" itemCode="CM-6-14"><a id="1409810682458726401_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810682458726401_Note"></span></div><div class="itemTR" id="1409810682861379586_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-15" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：手术费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810682861379586" itemCode="CM-6-15"><a id="1409810682861379586_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810682861379586_Note"></span></div><div class="itemTR" id="1409810683368890370_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-16" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>康复费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810683368890370" itemCode="CM-6-16"><a id="1409810683368890370_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810683368890370_Note"></span></div><div class="itemTR" id="1409810683779932161_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-17" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>中医治疗费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810683779932161" itemCode="CM-6-17"><a id="1409810683779932161_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810683779932161_Note"></span></div><div class="itemTR" id="1409810684245499905_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-18" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>西药费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810684245499905" itemCode="CM-6-18"><a id="1409810684245499905_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810684245499905_Note"></span></div><div class="itemTR" id="1409810684643958785_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-19" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：抗菌药物费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810684643958785" itemCode="CM-6-19"><a id="1409810684643958785_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810684643958785_Note"></span></div><div class="itemTR" id="1409810685151469570_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-20" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>中成药费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810685151469570" itemCode="CM-6-20"><a id="1409810685151469570_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810685151469570_Note"></span></div><div class="itemTR" id="1409810685545734145_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-21" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>中草药费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810685545734145" itemCode="CM-6-21"><a id="1409810685545734145_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810685545734145_Note"></span></div><div class="itemTR" id="1409810686028079106_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-22" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>血费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810686028079106" itemCode="CM-6-22"><a id="1409810686028079106_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810686028079106_Note"></span></div><div class="itemTR" id="1409810686439120898_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-23" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>白蛋白类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810686439120898" itemCode="CM-6-23"><a id="1409810686439120898_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810686439120898_Note"></span></div><div class="itemTR" id="1409810686904688642_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-24" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>球蛋白类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810686904688642" itemCode="CM-6-24"><a id="1409810686904688642_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810686904688642_Note"></span></div><div class="itemTR" id="1409810687307341826_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-25" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>凝血因子类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810687307341826" itemCode="CM-6-25"><a id="1409810687307341826_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810687307341826_Note"></span></div><div class="itemTR" id="1409810687894544386_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-26" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>细胞因子类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810687894544386" itemCode="CM-6-26"><a id="1409810687894544386_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810687894544386_Note"></span></div><div class="itemTR" id="1409810688318169090_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-27" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>检查用一次性医用材料费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810688318169090" itemCode="CM-6-27"><a id="1409810688318169090_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810688318169090_Note"></span></div><div class="itemTR" id="1409810688829874177_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-28" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>治疗用一次性医用材料费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810688829874177" itemCode="CM-6-28"><a id="1409810688829874177_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810688829874177_Note"></span></div><div class="itemTR" id="1409810689232527361_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-29" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术用一次性医用材料费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810689232527361" itemCode="CM-6-29"><a id="1409810689232527361_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810689232527361_Note"></span></div><div class="itemTR" id="1409810689702289410_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-30" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1409810689702289410" itemCode="CM-6-30"><a id="1409810689702289410_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1409810689702289410_Note"></span></div></div></div></div><div id='anchor' class='anchor'><ul class='anchor-list'><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title0'>基本信息</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title1'>HF-1 左心室射血分数左心室功能评价与检测B型利钠肽实施情况完成</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title2'>HF-2 到达医院后利尿剂使用情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title3'>HF-3 肾素-血管紧张素系统抑制剂使用情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title4'>HF-4 到达医院后β受体阻滞剂情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title5'>HF-5 到达医院后醛固酮拮抗剂使用情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title6'>HF-5a: 到达医院后SGLT-2抑制剂药物使用情况 ⅠA</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title7'>HF-6 住院期间利尿剂、ACEI/ARB、β受体阻滞剂、醛固酮拮抗剂使用情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title8'>HF-7 出院时利尿剂、ACEI/ARB、β受体阻滞剂、醛固酮拮抗剂使用情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title9'>HF-8 离院方式</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title10'>HF-9 住院期间为患者提供健康教育与出院时提供教育告知五要素情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title11'>HF-9a: 出院前风险评估</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title12'>HF-10 患者对服务的体验与评价</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title13'>HF-11 慢性HFrEF患者的心脏植入型电子器械治疗临床应用符合适应症</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title14'>HF-12 住院费用完成</a></li></ul></div>
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